HomeMy WebLinkAbout1965-10-11 Permit, Septic System #929Contractor
Owner
State License No
Village Permit NQ 929
Address
Address /�„�__
Village License No
�a GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
- --
Date �t�._i
Parcel No�1' 11 PJ
Section Nod 0 Plat No L'o`�— BlocSubdivision
I or
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.
Install plumbing systems
Install
BAsewage disposal systems:
Install
it water supply systems:
Reps
Fee $ _
Fee $
Fce $—_
Fee $-- —
V
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official