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w <br />Contractor. <br />Viltage Parmif NS 2306 <br />f Tmicu/ <br />Owner./ /) L ( <br />^ Addrm <br />Address_C^CO h M ^6 fh^f <br />State License No.Vilbge License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minni <br />Paicel No, <br />Date.//) -yi"S h <br />Scctkm No.Lot SubdivisioiL <br />Pbt No. <br />Other Descrii *,# • I <br />1 hereby agree that in case a permit is granted, all work which shall be done and all imteriab which shall be used, shall <br />iply witb the Vilbge Code of Otono applicable diereto^ and shall indude all additional spedfkations as listed bdow. <br />S rtO.'-K.7c /r'7^ <br />Him <br />liutall plumbing systems: <br />Install <br />Fee $.Sigiuh*rc of apf^icant <br />Bepair <br />InstaU <br />seii^ge disposal tystemv: Fee $. <br />Repa <br />ter sup^ systems: <br />^ J /L M Pr^ <br />Fee 1 <br />Fee %!^. L <br />Total anunini! paid m ViUagB ..........$. <br />Sig^tuie kA Vilbge Officid