HomeMy WebLinkAbout1965-06-23 Permit, Septic System #824Village Permit N2 824
Contractor — - Address `�
Owner
State License No
Address—___ _
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Mir nesota
11.1tc-Z/ "314' Z.7 — -
y
Section No. Parcel No.—_.-_ Lot-- Block__ Subdivision 9
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 includL all additional specifications as listed below.
Install plumbing systems: Fee 5—____ Si.ure of applicants'
Install �, ,' / '
�f sewage disposal systems: lee $ _ %�
Install
Repair water supply s}stems: FCC
Fue Signature of Village Official
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Cotal amount paid to Village....... $� �_—"'_ 1�,