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Contractor. <br />Owner. <br />State License No.. <br />Section No. <br />Villag* Permit N® . 4127 <br />Address. <br />^ ////, £ (Ze L,Address.'-/-ci>o tt JLr <br />Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date. <br />Parcel No. <br />Plat No— <br />BlocL Subdivision. <br />Other Description: <br />I hereby agree tliat, 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 />Water Meter:Fees <br />Sewer Hookup:Fees <br />Install Plumbing Systems:Fees <br />Install Sewage Disposal Systems:Fees <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................ Fees <br />Signature of applicant <br />Signature of Village Official <br />O