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Village Permit N° 3871 <br />Contractor ____S (f �` y'� l�/� L� Addrevc <br />� n <br />Owner � � � � Address— <br />State <br />ddres <br />State License No <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot_ Block SubdivisiorL <br />Date ; l J <br />I hercb}' agree that, in case a permit is granted, all work which shall be done and all niateriats which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter: Fee S <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: <br />Fee S <br />Install Water Supply Systems: <br />Fee S r/ r U <br />Install Sewer Hookup: <br />Fee S <br />State Surtax: <br />Fee S <br />'notal <br />Amount Paid to Village....... <br />Fee S <br />Signature of applicant <br />Signature of Village Official <br />t <br />