HomeMy WebLinkAbout1967-12-06 Permit, Septic Repair #1741Village Permit No 1741
Contractor `-�� _t!< h �%14 C Address .4 —
Owner-__L �. Address
State License No. _ Village License No. ---.-
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.. /-�� =i — A
Parcel No.
Section No Lot Block_ _ Subdivision--__..__
Plat No
Other Description:
I hereby agree that, in visc a pennit is granted, all work which shall be do ne and all materials which sliall be used, shall
comply with the Village Code of Orono applicable thereto, and sliall include all additional specifications as listed below.
Install plumbing systems:
Install
sMagc disposal systems:
-aluz)
Install
Hater supply systcnrs:
Repair
Fee $—�.—► —
Fee
Fee _—_
-- -- -- Fee ---
Total amount paid to `illagc........ 5— -
Signature of applicant
Jtgnat�re �f Village (lfhc•ial