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Village Permit 4148 <br />Contractors �G f K t '` Addr /! <br />Owner__��� ,n x a �i I its 1t rt r •�� // 1 C / / {. /' <br />Address �-/-(� J v / • .� � -r1 d � t'o /� G/ . <br />State License No <br />Section No <br />- <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. _ <br />Plat No <br />Lot 3l0ck Subdivision <br />Dates <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, sh,il <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />State Surtax <br />Fee S <br />Fee $ <br />Fee S <br />Fee $ <br />Fee $ <br />Fee $ _ <br />Fee S ` C� <br />Fee S _ r' <br />Total Amount Paid to Village........... Fee $ <br />0O, rD <br />--'ature of applicant <br />Signature of Village Official <br />