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Village Permit N! 1609 <br />Contractor J ' f Addressj4e' <br />Owner Add - c:17-4 <br />State license <br />Parcel No. <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <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: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />water supply systems: <br />Repar on <br />t2/- Z'7 - /� s-/ „ <br />/' ro <br />Fee $ <br />Fee $ <br />Fee $ _ <br />Fee $ <br />Signature of applicant <br />�)[t;IJaWrc of Village 01"I <br />Total amount paid to Village........ $___ - __ <br />