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Village Permit N" 1225 <br />Contractor % f Address <br />Owner Address � <br />State License No Village Licensc No. <br />GENERAL PERMIT <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 />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fec $ _ <br />Repair <br />Fee $— Z t; 0 <br />Total amount paid to Village........ $ -71 _5_ V <br />Signature of applicant. <br />lb <br />Signature of Village Official <br />-1 1jt <br />