HomeMy WebLinkAbout1972-08-31 Permit, Sewage Disposal System #3280Village Permit
Contractor Address
Owner At' e - La 11. 2(, l Cyt^ I a Address
Statr. License No
Parecl No
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No Lot— Bloch Subdivision
Plat No.
Other Description:
Date 7
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: Fee $
Install
sewage disposal systems: Fee $ ' O
Repair
Install
water supply systems: Fee $
Repair
Fec $4
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official