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Village Permit 2837 <br />Contractor "F ��� ��'� �' f r Address <br />Owner c.u.Address <br />s <br />Village License to <br />State License No. ' � � �'� I`'' <br />GENERAL PERK s, IT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Lot Block Subdivision <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 />7AL—TLA'.0 414 f 5,5 44 <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install a' c <br />water s4 Fee $ <br />Repair <br />Fee $ _ <br />Total amount paid to Village....... $—'�o <br />Signature of applicant <br />Signature of Village Official <br />(� { y (/� �--- <br />f/(• 114 <br />