HomeMy WebLinkAbout1963-10-30 Permit, Septic System #410W
Village Permit No 410
State License No Village License No—L / +l
GENERAL PERMIT
VILLAGT OF ORONO
Crystal Bay, Minnesota
Section No Parcel No _ Iyilock_. Subdivision
Other Description: 7
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 shah include all additional specifications as lis,ed below.
Signature of applicant
Install plumbing systems: Fee $
Install sewage disposal systems: Fee $ xjj_2'+
Install water supply systems: Fee $
Fee $
Total amount paid to Village ......... $
Signature of Village Official