HomeMy WebLinkAbout1969-11-14 Permit, Septic System #2342Village Permit N 2 2 3 4 2
Contractor '�" m Address _
Owner t ��� ��' l l „ Address
State License No__.. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No
Section No Lot Block Subdivision ..
Plat No
Other Description:
%- 1'.4-1- / g
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:
sewage disposal systems
Repair
Install
water supply systems:
Repair
Fee —
5 Fee $.
Fee $
__-- Fee $
Total amount paid to Village....... $
Signature of applicant
Sienature of Village. Official