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r''. 3303 <br />� age Permit +• � - <br />Contractor_ Address_ _/14ZAA <br />".17Owner—� f� 6-0- 4-1 Address A <br />,1!'1klq_ .a.nh <br />State License No <br />Section No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parccl No. — <br />Plat No.. <br />Lot <br />Bloch 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 />sewage disposal systems: Fee $ <br />Repair <br />Install / <br />water sli+# Iv=i:}:ct¢tiW ;r Fee $ <br />ReIxiir <br />Fee $ <br />Total amount Ixiid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />