HomeMy WebLinkAbout1971-05-21 Permit, Repair Septic System #2715WIMP Pan if : � 2715
Contractor � � a1 Address
Owner L.�/i/Yt �t�_,Cl..� 1 Address`> w
State License No.
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloch Subdivision
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Date - ) �- 1 f
I hereby agree that, in rase 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: l -cc $
Install
l--lscuage disposal systems: Fee 5 �'
C&O ip
Tnstall
water supply systems: Fee $
Repair
Fee $
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official