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1 <br />Contractor , Address <br />Owner Address <br />State License No. Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permit �' J <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Da 1' - E � e? <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 <br />llyspecifications as listed below. <br />Install plumbing systems: Fee $— <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $— <br />Repair <br />Fee — <br />Total amount paid to Village....... <br />Signature of applicant <br />Signature of Village Official <br />r <br />>b <br />