HomeMy WebLinkAbout1972-07-18 Permit, Septic System Hook Up #3212State 'license No Village License No
Parcel No
Section No
Plat No
Other Description:
Village Permit N o ` - 3 212
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot —_ BlockSubdivision
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 syste s: Fee $
Install
sewage d' ee >} lJ • U
Repair
Install
water supply systems: Fee $
Repair
)�J� Ce $
Signature of applicant
Si ture of Village Official
Total amount paid to Vil ..... $ A%..1_�