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i'- <br />Contractor <br />Village Permit N? <br />O S< '' <br />1023 <br />Address <br />Owner_____________'j^c.L^tx Address <br />State License No.._ — ______________ Village ISccnse^O/.^5?c c^€x> "/^ej <br />il G-x/'GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />.ki-‘I ^ <br />Hate. <br />Section No. <br />Pi^ <br />Parcel No.^^V^^O / ^7 m i /^ Lot. /> .-X Block- ■. ^ <br />Plat <br />Subdivision. <br />Other Description:1 <br />7 <br />* \ <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 />i <br />% <br />Install plumbing bySfcins;Fee 1 Signature of applicant <br />InstaH <br />Repair <br />sewage disposal systems: I cc <br />70 <br />Install ,water supply systemv: <br />Repair <br />! t^e $. <br />iL,I eg $Signature of V illage Official <br />i otal amount paid to V'illagc ...........$_/...jg:.-.