HomeMy WebLinkAbout1969-07-10 Permit, Septic Repair #2175Village Permit N 2 2175
Contractor '`" ' ,4—`- Addres, t
a , 7
Owner Address
State License No. Village License No. —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, 1%Iinnesota
Parcel No.
Section No Lot Block Subdivisi
Plat No
Other Description:
Date / C _/- �
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
sewage disposal systems
c--
Install
water supply systems:
Repair
Fee $_ Signature of applicant
Fee $ .5 r 4
Fee $—_
— — — -- Fce $— -----
Total amount paid to Village....... $
Signature of Village Qfficial