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Village Permit N2 J 415 <br />Contractor Y _� �(/i��L Address _ <br />Owner _ �C! Address `,/__ <br />State License No. __ _ Village License No. <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date_Y__�Ir .— `' S'. <br />I hereby agree that, in rise 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 />Repair sewage dislx)sal systems <br />Install <br />Repair er supply systems: <br />Fee $ <br />Fee $ <br />Fee <br />Signature of applicant <br />Signature of Village fficial <br />Total amount paid to Village........ $_—_ <br />