HomeMy WebLinkAbout1978-06-05 Permit, Septic System #3659.. TT.-^Village Permit ^*< •3859
Contractor.I aI^^})tthy
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■3^.4? ■ PEAddresi
Owner.C^ (Ly\l f^'if^
State License No..
Address.A‘^o /Sa-^ia-a/£j 5 .
Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.A -.5~- '7A
Parcel No.
Section No.Lot Blodc.SuLdivisioa
Plat No.
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
comph ’ with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.-
■'i ■: . ;
£•
Water Meter:Fees
Sewer Hookup:Fee S
Install Plumbing Systems:Fee S
Install Sewage Disposal Systems:Fee S
Install Water Hookup:Fee S
Install Water Supply Systems:Fee $
Install Sewer Hookup:I-ee S
State Surtax:Fees
Total Amount Paid to Village..........
Fee s //~) ■ ry cy Signature of applicant
Fo. S .A/O
Signature of Village Official