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WI&Sp Permit N2 2126 <br />/ V <br />Contractor ` t -C : Address . ^ If 4— <br />Owner- Address <br />State Licensc No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cnstal Bay, Minnesota <br />Date_ <br />Parcel No <br />Section No Lot Blodr Subdivision <br />Plat No <br />Other Description: <br />hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be nscd, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Install <br />sewage disposal systems <br />it <br />In <br />ter supply systems: <br />Repair <br />Fee $ <br />Fee $ <br />Fee $ /) - W -'o <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Oficial <br />