HomeMy WebLinkAbout1969-05-22 Permit, Repair Septic System, #2135Village Permit N2 2135
Contractor Address %
Owner �/' t:��/ (�1��/��L! Address--
133
State License
Parcel No
Section No
Plat No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision_.
Date-- '�`T , � y r
I hereby agree that, in case a permit :s 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:
Ins
11"s ge disposal systems
Repair
Install
water supply systems:
Repair
Fee $ Signature,of applicant
Fee
Fee $
Signature of Village Official
Fee $---,�
Total amount paid to Village....... $