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Village Permil No 1799 <br />Contractor- .-t E=-- / P t� r+C' - ----_- Address <br />Owner - <br />Address .�� �% C./et �C� o �.. •-C `F <br />State License No.--__ __ _ __. —_ __. ___ Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No Lot _ Block—_._ Subdivision_ <br />Plat No. <br />Other Description: <br />I hereby agree that, in arse 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 specifications as listed below. <br />Install plumbing systems: Fee $_._ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />lusrall <br />mater supply systems: title $ <br />Repaer <br />Fee <br />Total amount paid to % d4v .. <br />Signature of apphc,.. <br />Signature of Village Officwl <br />