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Contractor <br />Owner _ <br />Village Permit N2 2016 <br />r <br />Address <br />.address <br />State License No _ Village Liccnse No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block <br />Subdivision <br />Date <br />I hereby agree that, in rase a permit is granted, all <br />work which <br />shall <br />be done <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />listed below. <br />Install plumbing systems: <br />Install <br />sewage disposal systems: <br />Re�ir <br />' Instar,, <br />-_. — water supply systems: <br />Repair <br />Fee $ .___ <br />Fee $ <br />Fee $ <br />Fee $ <br />'Total amount paid to % illagc•........ $ <br />Signature: of applicant <br />signature of <br />\'illagc Official <br />