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- ��� ---- <br />Contractor- <br />Owner — <br />State License No.—____ ._.._. <br />Parcel No. <br />Section No <br />Address_ C <br />Address — <br />Village License No. — <br />GENERAL PERMIT <br />Plat No._ <br />Other Description: <br />VILLAGE OF ORONO <br />Crystal Bav, Minnesota <br />Village Permit N2 1587 <br />Date I <br />Lot---- Block— Subdivision---__—_ _- ---- - - <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: I"ec--.____—_ <br />stal <br />scu'age disposal systems: Fee 5 <br />Repair <br />Install <br />Repair <br />Hater supply systems: FCC S __ <br />-------- - --- - - Fee y-- _ - <br />Total amount paid to Village........ S_` 1'S n <br />Signature of applicant <br />,7 , <br />Signature of Village Offi •ial <br />iz����.- <br />