HomeMy WebLinkAbout1968-08-06 Permit, Install Septic System #1891Village Permit N? 1891
Contractor Address_
Owner _ � �� Address--
-_--
State Licensc No. _ __ _ Village Licensc No
Parcel No.
Section No—
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot________ Block-_
Dat
Subdivision
I hereby agree that, in cvsc i pennit is granted, all
work which
shall
be clone
and all materials whicli 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:
I'cc $
Instaj��''�
Re sem-a a d_.is-$�
'
Fee
Install
water supply systems : l"Cc
Repair
Fee
Total amount paid to Village:....... .
Signature of applicant
Signature of Village Official