HomeMy WebLinkAboutPermit, Septic System #209Village Permit N O 209
Contractor �'��Y✓.�T_._ Addres
Owner_— --� r� ��� . -- Address-- -- — ------ -- - — —
State License No` _— -. --_- -- __- Village License No_- - --- ---. - ---- ---- __ _- —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No �� Parcel Nog-*C O Lot / 3771 Block---- — Subdivision— J'
Othe* Description: ��� � � k-
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: Fee $
O
Install sewage disposal systems: Fee $_Z
Install water supply systems: Fee $ _
Fee $---
Total amount said is Village ......... $ 7 J' 0 -_-__
Signature of applicant Signature of Village Official