HomeMy WebLinkAbout1973-05-14 Permit, New Septic System #3638r
Contractor
Owner
0
Addres
MiIlags Permit 3638
i / I . T
—Address L-121 C -d d /'-�/
State License No. Village License No
Parcel No.
Section No
Plat No.
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date_
1 ltcrcl)%, agree that, in case a permit is granted, all
work which
shall
be done
and all materials which shall
be used, shall
comply witli the Village Code of Orono applicable
thereto, and
shall
include
all additional specifications as
listed below.
Water Muter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
State Surtax:
Total Amount Paid to Village
Fee S
Fee S
Fee S
Fee $
Fee S
Fete S
Fee S
Fee S
Fee S
Signature of applicant
SigI it ure of Village Official