HomeMy WebLinkAbout1971-11-09 Permit, Septic System #2915��Is9• P• 2915
Contractor �`� �,�C ` ''- Address
Owner- Addresse
Statc License No. Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot— Bloc Subdivision
Date /-- 17- 7
I hereby agtec that, in case a permit is granted, .ill work which shall be done and al', 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: Fee 5
Install
sewage disposal systems Fcc g� n d
Repair
Install
water supply system,: Fec 5 —
Rcpair X14
L 't (` ` r_ Fee 5 �
r
Total amount laid to Village....... $ /P- �- LZ
Signature of applicant
Signature of Village Official
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