HomeMy WebLinkAbout1966-08-26 Permit, Septic System #1257Village Permit N! 1257
Contra etOT <<,t.4._J address— /` ti14/0
Owner 4- (' 4- k' •? l_ Address- Le
State License No Village Licensc No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Section No Plat No Lot Block—_ Subdivision
Other Description:
:) 0"t, l,'I''T L,-%- 'e —i, ! c—V
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
Rqx& sewage disposal systems
Install
Repairwater supply systems:
Fee S -- Signature of ap icant
Fee
Fee $ _
Fee $— —
Total amount paid to Village........ $--7- �_ L%
Signaature ofyViillage cial
C�c�_