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Contractor'+ <br />Owner <br />State License No.__ <br />Village Permit ' <br />J <br />Address 1 <br />Address <br />Village License No._ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cn•stal Ray, Minnesota <br />Parcel No. <br />Section No. Lot--- Block _ Subdivision <br />Plat No.— _ <br />Other Description: �. <br />r <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. r� <br />U1- tr-yi = <br />Install plumbing systems: FCC $ <br />Install ILlei <br />sewage dist.aw4-srt Fee $_ <br />itcpair <br />Install <br />water supply systems: Fee $ <br />Repair f <br />Fee $— , Total amount paid to Village....... $y.: <br />Signature of applicant <br />Signature of Village Official <br />-14 /LU <br />l t ' <br />