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Contractor_ <br />r <br />Owner�••,� - <br />7 <br />.r W . IR.. — «., <br />Village Permit i <br />3279 <br />State License No. Village License No._ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No <br />Section No Lot— Block—_ Subdivision <br />Plat No <br />Other Description: <br />Date <br />hereby agree that, in case 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 <br />plumbing systems: <br />FCC <br />Install <br />sewage disposal systems: <br />Fee <br />$ <br />Repair <br />44 <br />Install <br />water st -- <br />Fee <br />$ <br />Rcpa it <br />- <br />- - ----=--., <br />Fee <br />_ <br />S <br />Total <br />amount paid to Villap....... <br />$. <br />Signature of applicant <br />Signature of Village Official <br />"d <br />J <br />