HomeMy WebLinkAbout1967-12-26 Permit, Septic System #1747Village Permit No 1747
Contractor �° r��sL_ Address % • ` ��� -
Owner Address C C� O'f /i e �i
State License No. _ Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No Lot Bloch_ Subdivision
Plat No
Other Description:
Date % — — (" 7
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:
�cwagc disposal systems:
Repair
Install
water supply systems:
Repair
Fee $
Fee $-��
Fee $ _
Fee $
Total amount paid to Village........ $____.
Signature Of ahplicaut
Signature of Village Official
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