HomeMy WebLinkAbout1964-09-29 Permit, Septic System #637Village Permit N2
637
Contract _Address_ �-��� � _
Owner_ d','L-�&/
,Xddress�� � _P-1
State License No. _ ________ Village License No._-
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GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Datc-
/ Parcel a6!_ o
Section No.—lL--- Lot �X_ Block_----- Subdivision —
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:
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sewage disposal systems
Repair
Install
water supply systems:
Repair
Fee $
Fee $�
Fee $ __.--
^_ Fee $— —
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'rotal amount lraid to Village. .... 4- -
Signature of applicant
Signature of Village Official