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Contractor - <br />Owner <br />State License N <br />Village Permit N° 2339 <br />r C� <br />Address; <br />Address _"' <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No <br />Section No Lot Block S•ibdiv,aion <br />Plat No <br />Other Description: <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 />-- <br />water supply systems: Fee <br />Repair <br />Fee $ <br />Total amount 1xiid to Village ....... $ <br />Signature of applicant <br />Signature of Village Official <br />