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Village Permit N -2864 <br />Contractor c/'%4 I,' t id r") �- �' ` i G Addres <br />n ---r- <br />Owner �' �� < < C c �` C- c Address �� g <br />State License <br />Section No <br />Other Description: <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. — <br />Plat No <br />Lot— Block Subdivision <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, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />/Install plumbing systems: FCC $ <br />`- " sewage disposal systems: Fee $ IC, '0 0 <br />Repair <br />Install <br />water supply systems: Fee $ <br />ltcpair <br />_ 7, o f �r_ _ Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />l A <br />