HomeMy WebLinkAbout1969-11-05 Permit, Septic System #2325Village Permit N 2 2325
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Contractor Addres
Owner r / 6 a C'�_ ` `'/�L- Address
State License .Jo Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal }gay, Minnesota
Date
Parcel No
Section No Lot--- Bloch—_ Subdivision
Plat No
Other Description:
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 A] additional specifications as listed below.
Install plumbing systems:
1-1- H`--
sewage disposal systems
Repair
Install
water supply systems
Repair
Fee
0
Fee °' J
Fee $-- —
-- - Fee $-------
Total amount paid to Vil'.jgc....... $_-- _
Signature of applicant
Signature of Village Official