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4. —I <br />Village Permit "" 2618 <br />Contractor 4f,,6hAddress v ✓ <br />Own Address40 <br />ya.? <br />State License No._—_ —_ _—_ Village License No. --- <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cn-stal Bav, 'Minnesota <br />Parcel No <br />Section No. Lot— Block_— Subdivisio <br />Plat No. <br />Other Description: <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: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair �. <br />__- Fee $�____ <br />Total amount paid to Village....... $ w <br />Signature of applicant <br />Signature of Village Official <br />�.�C6L �•5L����CG L � <br />I <br />