HomeMy WebLinkAbout1973-10-05 Permit, Sewage Disposal System #3802Village Permit 812
i
Contractor C Address
Owner 11 Lt - Address
State License N
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date .'6 7 3
1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which s, all be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup:
Install Water Supply SY"enis:
Fee S
Fee S
Fee S
Re S
Fee S
Fee S
Signature of applicant
Install Sewer Hookup Fee S
Signature of Village Official
State Surtax: Fee S 2) y/�l
Total Amount Paid to Villagr........... Fee 5 / `