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Village Permit NS 2557 <br />/"■ <br />Contractor- <br />Owner ___ <br />State License No. <br />/ra.r ^d - /PcT <br />Village License No- <br />‘->0 . ' ;■> <br />GENERAL PERMIT .- <br />VILLAGE OF OROHO d|||Hbi <br />n.. IO'l"b'10 <br />Fkicel No ______ id <br />Section No <br />Crystal Bay, Minnesota <br />Block-Subdivision. <br />Pht No. <br />Other Description: <br />I hereby agree tiiat, in case 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 speci6cations as listed bdow. <br />IMiL jr€>9^ > (O l':^ ^10 iHi’ <br />1 <br />iHlit <br />Install plumbing systems: <br />Instan <br />Fee $.Signature of applicant <br />Repair <br />Install <br />sewage'disposal systems: Fee $. <br />Repaicrly systems: Fee $_ <br />'to Vill <br />Fee $to‘00 <br />Total amount paid'to Village ..........$. <br />Signature of Village Official <br />Y//> ^ c^Lh <br />3.^