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IN <br />YAIMM Permit <br />� � I <br />o Contractor `C �? / [ , / i� �,(J Address <br />Owner �". a . ,.� Address- <br />4111%. <br />ddress V111%. '►sp <br />State License No — Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Flay, Minnesota <br />,• D3 tC -7 <br />d <br />Parcel No. , <br />Section No Lot_— _ Block Subdivision <br />Plat No <br />Other Description: <br />1 hereby agTLv that, in ca%c a permit i% 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 />v2--- ----- <br />Install plumbing systems: Fee $ <br />Install / r Q O <br />scyyagc d �4sposai�-a�t�riis: Foe $ <br />Repair <br />Install <br />µata supply systerns: Fee $— <br />Rclxiir _ <br />-- 47 Fee <br />Total amount paid to Village....... $ <br />II�A <br />Signature of applicant <br />Signature of Village Official <br />r 1. It .'4 �- <br />4I <br />