HomeMy WebLinkAbout1964-09-16 Permit, Septic System #622Contractor.
Owner-_--
State License No.
Section No,3 L
Other Description:
Village Permit N2 622
Address_
Address � �-- 3 r/
Village License No..2-- _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
DateVj-,6
Par.:el No 1115 n � `�,�I q'�
Plat No Lot_ Block Subdivision
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, and shall include all additional specifications as listed below.
Install plumbing systems:
Repair sewage disposal systems
Install
water supply systems:
Repair
Fee $-- -
Fee
Fee $--------
Fee $--
Signature of applicant
Signature of Village Official
O O `
Total amount paid to Village....... $;L— _