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.r ' <br />Village Permit - 4522 <br />y <br />Contractor. <br />Owner ___ <br />Address. <br />Address ----- <br />State License No._Vilbge License No. <br />GENERAL PERMIT V-, <br />r; <br />l'"' "K,. w <br />' <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date. <br />Section No______ <br />Other Description: <br />Parcel No. <br />Plat No.- <br />Block.Subdivision. <br />I hereby agree that, in case a permit is granted, all work which shall be done and all mataials which shall be used, shall <br />comply witli the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter:Fees <br />Sewer Hookup: Fee $ <br />Install Plumbing Systems:Fees <br />Install Sewage Disposal Systems;Fee S <br />Install Water Hookup:Fees <br />Install Water Supply Systems:Fees <br />Install Sewer Hookup:Fees <br />State Surtax:Fee S <br />Total Amount Paid to Village............___Fee S <br />Signature of applicant / <br />Signature of Village Official