HomeMy WebLinkAbout1969-10-30 Permit, Septic SystemVillage Permit N g 2317
Contractor rJ u 0"' V"V1 G''S(l7 �--'-' ` Address_..` —K
Owner Address y�/ h � h �' /F
State License No. Village License
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date /� . ,('�
Lot—_ Block— Subdivision_
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
wvage dispcoal systems
Install
water supply systems:
Repair
Fee
Fee $�
Fee $
Fee $
Total amount paid to Village....... $_ _
Signature of applicant
Signature of Village Official
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