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Village Perm'01 No 1463 <br />Contractor '1l )1) e r CJ It lFr /� O ►) Ac dress t5d <br />ad pt AddressC`net-?/ <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 Subdi <br />Date <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be +.used, sliall <br />comply with the Village Code /of Orono applicable thereto, and shall include all additional specifications a; listed below. <br />�C--✓// a� O � ��j _L�- �� '��1� roc;�,.�, l �-' .' , <br />Install plumbing systems: <br />Install <br />Lwage disposal systems <br />e i <br />Install <br />water supply systems: <br />Repair <br />Fee $ <br />Fee $ �• Cep <br />Fee $ _ <br />Fee--- ----- <br />Total amount lx6d to \Village........ S—.- - —. <br />Signature of applicant <br />Signature of _Official <br />