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Contractor�n -� -o�y✓ _ <br />State License No <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />/illage Permit No <br />Address 711' �ti� r-�� ,/ail. 'Z; <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Gig .ral Bay, Minnesota <br />Lot Block Subdivision <br />Date & -3— 7i!� <br />3960 <br />I 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 />irclude <br />all additional specifications as <br />listed below. <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />State Surtax. <br />Total Amount Paid to Village <br />Fee S _s1..11 <br />Fee S <br />Fee S <br />Fee S <br />Fee $ /0. � V <br />Fee S <br />Fee S <br />Fee S . 7 y <br />I ee S . 7 L_ <br />Signature of applicant <br />Signature of Village Official <br />