HomeMy WebLinkAbout1973-11-26 Permit, New Sewage Disposal System #38303830
Village Permit
1
1'
Contractor �� L ''fi ''L �'� ` Addres ��—
Owner Address
State License No. Vill-ige License No
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date _ //-- 1- �- ' -7 J
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.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Fee S
Fee S
Fee S
Fee S % C' t? 0
Fee S
Fee S
Install Sewer Hookup Fee S
i
State Surtax: Fee S .J
Signature of applicant
Signature of Village Official
Total Amount Paid to Village........... Fee S