HomeMy WebLinkAbout1969-09-03 Permit, Repair Septic System #2239Contrac
Own(
State License
Village Permit N2 2239
Address -N T i �`�'•/ ? G
Address
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Cn,stal Bay, Minnesota
Date
Parcel No
Section No Lot— Block Subdivision
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
comply with the Village
Code of Orono applicable
thereto, —e
shall
include
all additional specifications as
listed below.
Install plumbing systems: Fee
Install _f' '
<�
ge disposal systems: Fee $
epair
Install
water supply systems: Fee Repair
Fee $__ _
Total amount paid to Village.......
Signature of applicant/
1 100
Signature of Village Official) /