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Village Permit 1 3225 <br />Contractor Address — <br />Owner "-,4 i - L1= Address y 4 / Fti i E rz NE- S S PT. Rd <br />State 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 />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 systems: Fee $ID 00 / vo k U p Signature of applicant <br />Install <br />sewage disposal systems. F 5 1, rc. a �� e- !�" - <br />Repair <br />Install -" <br />wat supply systems: Fee <br />Repair Signature of Village Official <br />Fee <br />Total amount paid to Village....... $ ��' <br />