HomeMy WebLinkAbout1970-08-17 Permit, Septic System #2507Village Permit N 2 2507
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Contractor 0 r ( "' ? J� AddressOwner vrl , SS h n 7 •� kr' F Address
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date_ f - i -1- -7 -0
Parcel N
Section No Lot Block Subdivision
Plat No
Other Description:
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.
lumbing systems:
Install
sewage disposal systems
Repair
Install
water supply systems
Repair
Fee $
Fee $ /C o (0
Fee $
Fee $—
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official