HomeMy WebLinkAbout1966-02-14 Permit, Septic System Service #1051Village Permit N2 1 0 5 1
Contractor. _ 6� Address—
Address —
Owner
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State License No. Village Liccuse No. _
NERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Parcel No.__
Section No Plat No. Lot_.____ Block Subdivision
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Other Description: 1161Fr
I hereby agree that, in case a permit is granted, all work which shall be dome 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:
ewage i sal systcuu
Install
Repair water supply systems:
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Fcc $�
Fee $--- -
Fee $__
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Total amount paid to Village....... $S-�'�"�-_
Signature of applicant
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Signat re of Village Official