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•tt <br />- 3 <br />« <br />* . ? *'5 <br /><Village Parmif 4912./ <br />Contractor./hU-r Addrell <br />fi <br />Owner. <br />. / tx 0. ..J \"5 <=> 0-TTV4 <br />A/rf ^e A J / <br />:-h <br />Address—_c^^h-K /P„^(>& /^ Il J <br />i-‘ <br />U tn- 17 f 4 5 ^ *t -»- ii ^ <br />State License No..Village License No, <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />«7 <br />^ <br />Section No, <br />Parcel No. <br />Lot Blade.Subdivisiott. <br />Plat No. <br />k ■ <br />Other Description:. <br />f <br />f. ■;{ <br />\ <br />I hereby agree that, in oise a permit is granted, all woilc «^ich shall be done and all materials which shall be used, drail <br />comply with tlic Village Code of Orono applicable thereto, and shall include all additional speciBcations as Isled bdkmp. <br />• •________^ ^ 45^_______________________. <br />(l Z7r <br />Water Meter Feel ^ <br />Snref Hookup;Fee S <br />Inhfall Plumbing Sy itemi;Fees <br />Install Sevagr Otspmai 8y»lems Fe« S ___ <br />tn»iall Water HiHakup:F^f /r-rc <br />Inwall Water Junriy Systems;Fr« 1 <br />t <br />Install Sewer HuoRupc Fees ^ P ^ <br />Eiatw SurttR:Fee S Jfj * ^ ^ <br />Total Ainounl fait] tu Viltaid.^ & JL£Ia 2di <br />Stgnaluro of applioni <br />‘■'s% <br />t <br />Sifutuie of \'tlli0e Officiall <br />7^ iLl M '/l <br />0 X. <br />«k / <br />iJMi ihJU j A