HomeMy WebLinkAbout1968-08-14 Permit, Permit, Septic System Repair #1905Village Permit NO 190 5
Contractor.
Owner.
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Address
Addres
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State License No.Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Section No.
Parcel No-
Plat No__
Lot-Block.Sulxlivision.
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 sixcifications as listed below.
Install plumbing systems: Fee $________
l^cwage disposal systems: Fee $ O ^
Install
Signature of applicant
Repair water supply systems: Fee $.
Fee $.
Total amount paid to Village............ $.
Signature of Village Official
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