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Contractor 'he <br />Owner c ., <br />State License No.___. <br />wisp. PW ft I 26;;6 <br />Address L • —t o /V" <br />Add., S s— � r,[ Jr a✓a+ 1 J1PW , <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cnslal Ray. Minnesota <br />Date <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 uaterials which shall be used, s tail <br />mmply with the Village Code of Orono applicable thereto, and shall include all additional specifications , cd below. <br />Install plumbing systmns: Fce f <br />Install <br />sewage dispovl systems: Fee, f-- <br />Rcpa. <br />rest if. C O a <br />t water wpplp nstans: Fee, <br />Repair <br />Fee <br />Total amount amount paid to Villge....... <br />Signature of applicant <br />S'guawu of %ducc (Alis al <br />