HomeMy WebLinkAbout1969-12-16 Permit, Septic System #2372Village Permit N° 2372
Contractor -G�- L�--G�
Add r
G 2��-
Owner
Address
._,
State License No
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloch_ Subdivisio
Date
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 $—
/'ii�stali - 7
sewage disposal systems: Fee $_ ,/
Repair
Install
Signatu f applicant
%katcr supply systems: Fee $
Repair Signature of Village Official
- — -- - Fee $— f-t;_ •/
Total amount pEud to Vdlagc.......