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Village Permit N° 4090 <br />�7 <br />Contractor Address IL eifj <br />Owner c �E _P_. G L1 G iAj Address j.- n'S <br />State License No. <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 />Date ;/- gr5 — I. ^ <br />1 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: Fee S !' <br />Sewer Hookup: Fee S o <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install 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 / Li 46 <br />Total Amount Paid to Village........... <br />Fee S <br />Signatu a of applicant <br />Signature of Village Official <br />