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2i. <br />Villase Parmil NS 1367 <br />41 <br />Contractor. <br />Owner_____ <br /><rv/ V' V //Address- <br />O 4iiiii <br />State License No. <br />Address-----iJSjJ=A£3St^ <br />Village Licaise No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br /># <br />Date-////j>~/^6 <br />/ / <br />Block-Subdivision. <br />I heidiy agree that, in case a permit is granted, all work whidi shall be done and all materials which sliall be used, shall <br />comply with the Village Code of Orono applicable thereto^ and shall include all additioiul spcciScations as listed below. <br />Instill plumbing systems: <br />Install <br />Repair <br />Install <br />Signature of applicant <br />sewage disposal systnns: Fee $- <br />Repair water supply systems: Fee S_ <br />t~ 0 Fee S_ <br />Total amount paid to N'illagc ...........$. <br />-7fc Sigiuturc of Village Official <br />7ht^ (txidlcAr^ <br />- . -----i