HomeMy WebLinkAbout1965-09-14 Permit, Septic System #912Village Permit No 912
Contractor�- r:t4d' iLtr�_ _ — Address '
Owner - 1" Address / L-?�
State (cense'No Village License No. 'i
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GENEkAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
DatZZ/- 4Vti :5 ~ _
L Section NoParcel No. �Q _ �f"' `�♦ '
� Lot Blocic_.i Subdivision e
Plat No _
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems
Install
age disposal systems:
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Install
water supply systems:
Repair
Fee $ _
Fee $
Fee $
Fee $--
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Total amount paid to Village....... $� _
Signature of applicant
Signature of Village Otficial