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Contractcr <br />Owner <br />rti <br />IG11VO e4.S. <br />Pillage Permit <br />2 8 9 <br />Address <br />._ .w...._._ Add <br />State <br />State License No.. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cn,stal Bay, Minnesota <br />Parcel No <br />Section No Lot—_ Block_.._.__._.. Subdivision <br />Plat No. <br />Other Description: <br />Dat -, ':�_ 0 -- I I <br />I hereby agree that, in case a permit is granted, all <br />work which <br />diAll <br />he donc <br />and all materials which shall <br />be used, shall <br />comply wlilt thc Village <br />Code of Orono applicable <br />thereto, and <br />shell <br />include <br />all additional specifications as <br />listed below. <br />Install plumbing systems: <br />In -stall <br />Repair <br />111%tall <br />watc•r ���ppl� t� stc•ts�s: <br />liepa�; <br />FCC <br />Fee <br />hcc <br />Fee <br />Total anti twit laid to Vdhp, �..........,.h..,.._ .� <br />Signaturc of applicant <br />Siglut ure of Iv ell <br />