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Village PKmit ; : 3 3064 <br />Contractor f Address <br />Owner. I'Y1 1L�:1 Address <br />R <br />State License No.. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date r <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 ther;to, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Fee $ <br />Install <br />sewage disposal systems: <br />Fee $ <br />Repair <br />Install <br />water s <br />Fee s LC Q <br />Repair <br />Fee $--•-�-�ti <br />Total aniou94 paid to Village....... <br />SOO.. -.S�—L <br />Signature of applicant <br />Signature of Village Official <br />r <br />