HomeMy WebLinkAbout1976-05-20 Permit, Septic System #4415Village Permit • 4415
Contractor.Address
Owner.■A Address.9/1^
State License No..Village License Nn //ATI - 7^
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
nafr#> 3 ^
Section No.
Parcel No.
Plat No->
Lot Block.Subdivision.
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 incli^ all additional specifications as listed below.
c.. ______________________________ _
Water Meter:Fees
Sewer Hookup:Fees
Install Plumbing Systems:Fees
Install Sewage Disposal Systems:Fees
Install Wate' Hookup:Fees
Install Water Supply Systems:Fees
Install Sewer Hookup:Fees
State Surtax:Fees
Total Amount Paid to Village............. .. . Fees
Signature of applicant
Signature of Village Official