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Village Permit N2 884 <br />Contractor t __ Address-/qe - ci..:.►-1-f /—w�RTb�+� <br />Owner Address _ <br />1 � <br />State License No Village License No. <br />?d GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date _ <br />Section No <br />Parcel No. ���� <br />Lo Block—/_ Subdivisio <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: Fee $ _ Signature of applicant <br />Install <br />Repair sewage disposal systems <br />Install <br />R� wzter supply systems: <br />Fee $ <br />Fee $—/ 6 =— <br />Fee $ <br />Total amount paid to Village....... $1Q___ <br />Signature of Village Official <br />