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-'I <br />Contractor W2 <br />44J C' /L <br />Owner -- <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />/"--Address--JAtf-f <br />Address <br />Village License No <br />GENERA• PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivisi <br />Village Permit NO ; 348 <br />Date/a / <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 $_S�� <br />Install <br />Repair sewage disposal systems: Fee $ <br />InsW] <br />water su ply systems: Fee $ __ <br />RrPai�%� <br />---1-� I <br />Fee ' <br />Total amount paid to Vil1W........ Q_-. <br />Signature of applicant <br />Signature of Village O*cial <br />