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Village Permit 3527 <br />Contractor A Address <br />i <br />t / �� I ! <br />Owner �t C �: r i �� !� / A-- Address1175-1�� P T ✓O/ Qi <br />State License <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Da <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 the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter: <br />Fee S geA <br />Sewer Hookup: <br />Fee $ . <br />Install Plumbing Systems: <br />F:. S <br />Install Sewage Disposal Systems: <br />Fee S <br />Inxtall Water Hookup: <br />Fee S <br />Install Water Supply Systems: <br />Fee S <br />Install Sewer Hookup: <br />Fee S <br />State Surtax: <br />Fee S 3-0 <br />Total Amount Paid to Village........... <br />Fee $ • 2 <br />Signature of applicant <br />Signature of Village Official <br />