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F <br />Village Permit <br />Con tractor ., �� �'t—� Address <br />Owner 4-f1 GUA Address Ycn,,t r� f -fl f <br />State License No. ___ Vilbge License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date Ir — / - % <br />Parccl No _ <br />Section No Lot_ Block Subdivision <br />Plat No <br />Other Description: <br />I hereby agree that, in rase a permit is granted, all work which shall be done and all materials 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 />Install plumbing systems: Fee <br />Install <br />scnjgc disix)sal systems: Fee $ <br />Reluir <br />Install _ <br />Hata Supply systrnrs: hcc $�_ <br />Relmir <br />---- --- I JI ---_ Fee $ <br />Total amount Tmid to Village....... S L -Z2- -. <br />Signature of applicant <br />Signature of Village Oficial <br />M <br />