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Contractor <br />Owner <br />State License Nc <br />Village Permit + <br />3373 <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date / — Z:� 7 7 %''` <br />Parcel No. <br />Section No Lot— Block — Subdivision <br />Plat No. <br />Other Description: <br />1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shalt be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: FEC $ <br />Install ` g <br />scssagc di � Fee <br />Rep air <br />Install <br />water supph s%-Oems: Fee $—. <br />Repair <br />Fee $ ... <7 <br />Total amount paid to Villagc....... $ Z r <br />Signature of applicant <br />Signature of Village Official <br />