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iv »! •> /* I ••<i»r'a#. > -■”1 <br />>' • '‘' <br />t ' <br />Village Permit M’J 3130 <br />Contractor—((u( ^Y^Uy',.TJiacuj <br />/I <br />Address. <br />Owner.r7lm -/T t< [j if-L. <br />Pa .r <br />Address.y4i,C__ 0tACo^ PtbJ_ <br />y-5fi <br />State License No..Village License No,i / r <br />y <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crj-stal Bay, Minnesota <br />Date. <br />.' • * <br />’ I » <br />Parcel No, <br />Section No,Lot Block.Subdivision. <br />Plat No, <br />Other Description:V, <br />\ <br />I <br />I hereby agree that, in case a jxirmit 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 specifications as listed below. <br />'*-V-f <br />r. <br />4,A.-7 <br />Install plumbing systems: <br />Install <br />Signature of applicant <br />Kejxiir <br />Install <br />sewuge disposal systems: Fee $. <br />Repair <br />water sii Fee 5 / 'D ' G d <br />" <br />I'ee $. <br />I’otal amount jxiid to X'illagc ........... $ f ^ <br />Signature of Village Official