HomeMy WebLinkAbout1975-09-15 Permit, Septic System #4186Village Permit N° 4186
Contractor l Add S
Owner �' Address
Statc Licensc No
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date`/� 15
I hereby agree that, in case a permit is granted, all work which shall be done and all materiab 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 $
Fee S
Fee
Fee , r J
Fee $
Fee S
Signature of applicant
Install Sewer Hookup: Fee S
` Signature of Village Official
State Surtax: Fee S
Total Amount Paid to Village........... Fee S