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Contractor <br />Owner <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permit No 1292 <br />Address__ 5 /V C /� <br />Address <br />Village 1-iccnNe No -- <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat <br />Lot Block Subdivision <br />— <br />I hereby agree that, in case a permit is granted, all work which shall be clone and all materials which shall be used, shall <br />comply with the \'ilhge Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fec $— <br />Install <br />sc agc disposal s%Mcuis: Fcc $ <br />Repan <br />nstal µatcr supply systems: Fee $ <br />Repair <br />Fee <br />Total amount paid to Village........ ��QO <br />Signature of applicant <br />Signature of \'illagc Official <br />✓ r <br />a< A, <br />_�_ <br />