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Contractor <br />G <br />State License N <br />Section No <br />Other Description: <br />Village Permit N 2 2539 <br />_y}-- Address.-f t1 <br />rt U� �. • �( (��"4-rt� <br />C r1�Q Address — <br />Village License No._ <br />GENERAL PERMIT <br />Parcel No <br />Plat No — <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block__ Subdivision <br />Date_ � -7 <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 />Install plumbing systems: Fee $ <br />Install <br />sel.age disposal systems: Fee $ <br />Repair <br />Install <br />Repaitter su ply systems; Fee $ <br />�� - <br />L u Fee $— n <br />Total amount paid `to Village....... $ <br />Signature of applicant <br />Signature of Village O cial <br />