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Village Permit N" 1687 <br />Contractor a 4/1 AddresQ <br />Owner (L-4 &n/ it�f� Address <br />State License <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No Lot — Block Subdivision <br />PlatNo <br />Other Description: <br />Date44-7 <br />1 hereby agree that, in case a permit is granted, all work which shall be clone 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: <br />Install <br />Repair sewage disposal systems <br />In .- <br />water supply systems: <br />Repair <br />Fee $--_ Signature of applicant <br />Fee $ _ <br />Fee $ /(-''Q0_ <br />Fee $---- <br />Signature of Village Official <br />Total amount paid to Village $___ _. - .- - <br />