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Village Permit Ng 1163 <br />Contractor AdOress—* 4�0 <br />Owncr-__ Address__ <br />State License No <br />Section No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Lot Blcxk _ Subdivision <br />Plat No <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 systcrns: <br />Install <br />sewage disposal systems <br />Repair <br />�`atcr supply systcrns: <br />Repair <br />Fee $----- -- <br />Fee $— <br />Fee <br />Total amount paid to Villagc S/0' <br />Signature of applicant <br />Signature of Village O al <br />