HomeMy WebLinkAbout1966-10-07 Permit, Septic System #1311Village Permit N2 1311
Contractor_/ G '1
Address— "`
Owner /1 TAddress
State License
Section No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Plat NoLot----Block--_ Sulxlivision-- ---_-------------------
I hereby agree that, in case a permit is granted, all work which sliall be done and all materials whicli 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: Fec
Insta Repair --
sewagc dislx)sal systems: Fee 5
Install
water supply systcnis: Fee
Repair
- --- --- -- — Fee �— --- —
Total amount paid to \ illagc. 5 O
Signature of applicant
Signature ut \ ll]Agc Official
7