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Village Permit <br />n <br />ContractorQ-o-i(J �L"^'< _ Addres J <br />Owner i t epi 1%-,� � B- Address � � `J i y C G c- d I"o 171 <br />State License No. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Lic:•nse No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />instal Bay, Minnesota <br />L(,. — Block__-____ Subdivision <br />Da Pc_ <br />i - -1 J' -- <br />I hereby agree that, in ca ,e 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 />Install plumbing systems: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />water sr <br />Rcpuir <br />444P <br />Fee $ <br />Ff-v $ <br />Fee O J <br />Fee <br />Total amount paid to Village....... $ /0- -S-0 <br />G Y <br />0 <br />Signature of applicant <br />Signature of Village Official <br />