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Village Permit N 2 2175 <br />Contractor '`" ' ,4—`- Addres, t <br />a , 7 <br />Owner Address <br />State License No. Village License No. — <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, 1%Iinnesota <br />Parcel No. <br />Section No Lot Block Subdivisi <br />Plat No <br />Other Description: <br />Date / C _/- � <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. <br />Install plumbing systems: <br />Install <br />sewage disposal systems <br />c-- <br />Install <br />water supply systems: <br />Repair <br />Fee $_ Signature of applicant <br />Fee $ .5 r 4 <br />Fee $—_ <br />— — — -- Fce $— ----- <br />Total amount paid to Village....... $ <br />Signature of Village Qfficial <br />