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a <br />ViNw Pe nit 4142 <br />Contractor k'`-� l G Address <br />Owner �-�� - / Address <br />Statc License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <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 />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems <br />Install Water Hookup: <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Install Water Supply Systems: Fee $ <br />Install Sewer Hookup: Fee S !% .yU <br />State Surtax: Fee S .1-0 <br />Total Amount Paid to Village ........... <br />. Fee S � � <br />Signature of applicant <br />Signature of Village Official <br />