HomeMy WebLinkAbout1965-11-18 Permit, Septic System #996Village Permit No 996
Contractor Address
J
OwnerAddress-jy--'& ��----
State License No. —___ Village License No. 75
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date 11�/Ac a !!�-
Parcel Nolvo
Section No // Plat No Lot__— Block_— Subdivision � ��
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 s'iall include all additional specifications as listed below.
Install plumbing systems: Fee S
Install
sew -age disposal systems: Ic
pais e
Install
water supply systcmS: FCC 5 -
Repair
Fee 5-- —
Total amount paid to Village....... $ 7
Signature of applicant
Signature of Village Official