HomeMy WebLinkAbout1973-04-16 Permit, Septic System #3594Village Permit 3594
Contractor 4� �� }- =' c �* Address • Il.
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Owner f -- � � _ Address
State License No. _____ Village License No.—
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date 4-1
Parcel No.__.
Section No Lot Block Subdivision
Plat No.----
Other
o —_
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, and shall include all additional specifications as listed below.
Install plumbing ststcros: Fee Signature of applicant
Intil.ill
sewage dklxwsal systems: Fee
RLIK it
Install
water supply syvtems: Fee $
Itclxi�r
Fee �:2''"D�,
1'44,11 ,114(nmt Jklid to Village.......
Signature of \'illagc Officwl