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Village Permit 3580 <br />Contractor-. Address <br />Owner <br />Address o L 4 a ��i 'ej[ C <br />State Licensc No.-__ -__ _ Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date--- <br />Parcel No. <br />Section No Lot— Block Subdivision <br />Plat No. <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with file Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fcc 5-- --- <br />Install�� r [ <br />Repair <br />III"ta11 <br />Watcr S1* Fee $� ' G <br />Rclxiir <br />Fec$-- <br />Total amount Ixiid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />0 <br />