HomeMy WebLinkAbout1971-07-27 Permit Septic System #2796Contractor— ZL
1
Owner__—
/
State License No.
ViliMp Permit
i
27x6
t -1
Address
—__ Village License No._
GENERAL PERMIT
Parcel No. _
VILLAGE
plumbing systems:
OF
ORONO
Crystal
Bay,
Minnesota
Section No.-- Lot__
Plat No. ---
Other Description:
Block_-- Subdivision
Date 7' f
1 hereby agree that, in case a permit is granted, all work which shall be clone 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.
C
T�.
Install
plumbing systems:
Fee
$�
Ti tall
sc%%agc disposal systems:
Fee
Rclxut
Install
water supph systems:
Fee
$----_ -- _ —
Itcpair
_ ' _ —._ _
Fee
l otal
ammint paid t0 Vil1W .......
Signature of applicant