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Contractor—4 <br />A <br />Ow»cr____- t;_ <br />:Address_ ' <br />77_ f Address__ <br />State LicenseVillage License <br />GENERAL PERMIT <br />Parcel No. <br />Section No— <br />Plat No <br />Other Dcscription: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat <br />Lot Block _ Stlbdivisic»>__-_. <br />Village Permit No <br />1711 <br />I hereby agree that, III (Ase �I permit ik grantcd, all <br />work which <br />�Iwll <br />he clone <br />and ,dil materials which shall <br />be used, shall <br />comply with the Village <br />C:odc of Orono applicabIc <br />thcreto, and <br />sliall <br />include <br />all additional specifications as <br />listed below. <br />Inst; -Ill plu"IbIng S\ steal" : <br />Install <br />u -wage disposal systems <br />Reluir <br />1��`tall <br />atcr su0 dF v <br />v SN.Stetlls : <br />ltepQi <br />e <br />t <br />Fee S------- - .. - -- _ __ -- <br />Fee <br />Fee 1,o ' <br />Total amount pwul to \ ilhigi........ ...... .__..� <br />SIgIMWIL tit .11)[fli ant <br />SiguAturc tit <br />114C Official <br />