HomeMy WebLinkAbout1976-07-27 Permit, Septic System #4520k.;' •
•H-f Village Permit N? I' 4520
Contiactor.Address^
Owner_____
State License No______
Ad«trg«
Village License No.
GENERAL PERMIT .
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■•tT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date:-
Section No.
Parcel No.
Plat No-
Subdivision.
Other Description:r -V
I hereby zg'cc 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 speciheations as listed below.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
State Surtax:
Total Amount Paid to Village. ..
Fee $
Fees
Fees
Fee S
Fees___________
Fees___________
Fees___________
Fee S_
Signature of applicant
Signature of Village OfiBcial
Fees