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Contractor— ZL <br />1 <br />Owner__— <br />/ <br />State License No. <br />ViliMp Permit <br />i <br />27x6 <br />t -1 <br />Address <br />—__ Village License No._ <br />GENERAL PERMIT <br />Parcel No. _ <br />VILLAGE <br />plumbing systems: <br />OF <br />ORONO <br />Crystal <br />Bay, <br />Minnesota <br />Section No.-- Lot__ <br />Plat No. --- <br />Other Description: <br />Block_-- Subdivision <br />Date 7' f <br />1 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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />C <br />T�. <br />Install <br />plumbing systems: <br />Fee <br />$� <br />Ti tall <br />sc%%agc disposal systems: <br />Fee <br />Rclxut <br />Install <br />water supph systems: <br />Fee <br />$----_ -- _ — <br />Itcpair <br />_ ' _ —._ _ <br />Fee <br />l otal <br />ammint paid t0 Vil1W ....... <br />Signature of applicant <br />