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Village Permit <br />Contractor _�l' i 1 X y d Addrp' i <br />brmer dt. ,/ ��: t� `r l.� r`<< Address <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No <br />Plat No — <br />Other Description: <br />Lot Block__ Subdivision <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 $ <br />Install <br />sewage Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ <br />Itcaair <br />l <br />Fee $__...1�? <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />-N <br />