HomeMy WebLinkAbout1972-11-10 Permit, Septic System #3411Village Permit . d
Contractor"► I C- (� rr1Address
Owner pl— u,vt Address
State License No. Village License No
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GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Section No Lot Block-- Subdivision
Plat No
9$7 Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all nMtcrials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed blow.
Install plumbing systrms: FCC $
Install
sca:ige disposal systcnis: Fix $Z i 'r' n
Repair
Install
anter supply s% -stems: Fee $
Itcpair
Fcc S C
Total amount paid to Village....... $---= -�
Signature of applicant
Signature of Village Official