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▼ rormiiContractor.Adrirff<< ^a^£.Owner.A/J-Address—^Sbtc License No.Village License No, <br />^ r'- <br />- ■ ■ -. <br />,* >» • <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />' <br />Date. <br />Parcel No. <br />Section No.Lot Block.Subdivision <br />Plat No. <br />Other Description: <br />*< 4 <br />I hereby agree that, m case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />_____________5?/5<^S' _________________________ <br />----------- -----_______944Sf? "______ <br />Water Meter;Fee S <br />Sewer Hookup:Fee S <br />Install Plumbing Systems:Fee S <br />Install Sewage Disposal Systems:Fee S <br />Install Water Hookup:Fee S <br />Install Water Supply Systems;Fee S <br />Install Sewer Hookup:Fees <br />State Surtax:Fee S <br />Total Amount PatvJ to Village........ <br />• <br />Signature of V'iUage Official <br />\ <br />13.