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Village Permit , ! 33 <br />Contractor Address '41 <br />Owner_ ���_ �7 ,1 , ! '•'���` Address �` /Ll /' 0 7 / <br />State License No. <br />Village License No <br />GENERAL PERWT <br />VILLAGE OF ORONO <br />Cnstal Bay, ?Minnesota / <br />Date <br />Parcel No -- <br />Section No Lot— Block — Subdivisin <br />Plat No.--- <br />Other <br />o.— - <br />Other Description: <br />1 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 Codc of Orono applicable thereto, and shall include all additional specifications as listed below. <br />- <br />�`-� e- C1eJL.. o'�& (-% r <br />Install plumbing systems: Fee $—_—.---- <br />Install <br />sewage disposal systems: Fee $_ <br />Rclxnr <br />lustall <br />s%Acr supply systems: Fee $ <br />Kc)XI i r <br />-- ---- - ----.� _ l CC $— <br />Total amount J)U:(l to Village....... $_ <br />Signature of applicant <br />Signature of Village Official <br />