HomeMy WebLinkAbout1970-05-11 Permit, Septic System Repair #2417Village Permit N 2 2417
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Contractor—yC O Address G'
Owner 4 - Zv t"? C r r - b C in Address f q -s— / !` yl
State License No. Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No --
Section No
Plat No
Other Description:
Date , ,/
Lot Block Subdivision
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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
G sewage disposal systems
Install
water supply systems
Repair
Fee $—
Fee
Fee $
Fee $-----
Total amount paid to Village....... $
Signature of applicant
$ignpnre of Village Official
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