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Village Permit N° 4425 <br />Contractor Address <br />Owner ✓ ��� r 2' Address- "55 It1 , f r - c i z 166C 7 '. <br />State License No. _ Village License No "I — <br />L/C'1 <br />GENERAL <br />PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No._ <br />Section No Lot Block Subdivisio <br />Plat No. <br />Other Description: <br />Date — <br />1 licrcby agree that, in case a permit is granted, all work which shall be done and �!1 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 />Water Meter: <br />Fee S <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S Signature of a/p licant <br />Install Water Hookup: <br />Fee S l <br />tl <br />— <br />Install Water Supply Systems: <br />Fe: S <br />Install Sewer Hookup: Fee S <br />State Surtax: Fee S" <br />Total Amount Paid to Village .......... Fee S <br />Signature of Village-O <br />