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Village Permit No 1232 <br />7 en <br />Contractor — �`�' �_C Address <br />OwnerC �- (Address <br />State License No <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota �{ <br />Date v 7 C' <br />Lot— Block-- Subdivision_—_ <br />I hereby agree that, in case a per nit is granted, all work which shall be done and all inaterials 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 />.Ya <br />ICI§ lumbing systems: <br />*sewage disposal systems <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Fee $_ / O�- r L <br />Fee $_. <br />Fee $— - <br />_....— Fee <br />— <br />Total amount paid to \'illage........ <br />Signature of applicant <br />Signature cc Village Off�c:ial <br />