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Contractor _ Address_____ <br />Owner <br />State I <br />Parcel No. <br />Address <br />Village Permit <br />3429 <br />License No <br />Village 44v0 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />C_'Q <br />Section No LOL— Block__ Subdivision <br />Plat No <br />r <br />Other Description: - <br />I hereby agree that, 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 specifications as listed below. <br />1 <br />_ <br />•f ' <br />Install plumbing systems <br />Install <br />sewage disposal systems: <br />Rel.vir <br />In%tall I. - <br />water supply ttts#�ts <br />Repair <br />l4 ee $ <br />Fee $ <br />Fee <br />Fee <br />'I"ot;al aniount paid to Village ....... _ <br />rr�rrrr� <br />Signature of applicant <br />Signature of Village Official <br />I <br />