HomeMy WebLinkAbout1964-10-22 Permit, Septic System #667Village Permit No ' 667
Contractor �_,Cl.�.�---- Address-- --- �_
Owner I _—_—.-�-
State License No _
Section No_=
Other Description:
Address -- --
Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date Ziz_
Parcel NoS-L�Q-0
Plat I'0� ZY� ----- Block__ Subdivision 2'o ram
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: Fee $ _
Install r� yid
_sewage disposal systems: FeeRopor
Install
water supply systems: Fee
Repair
FCC
�j S`D
Total amount paid to Village....... $-1.'""'"
Signature of applicant
Signature of Village Official