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O <br />Village Permit 3378 <br />Contractor Address � <br />Owner Address_ L� <br />4izIe_Voae r�4euwrp <br />State License No. Village Li.. rse No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />f,.. Crystal Bay, Minnesota <br />Date /D —��%-- <br />W <br />Parcel No. <br />Section No Lot Block Subdivision _ <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 di /"" : s: Fee $ r �� <br />Repair <br />Install <br />water supply systems: Fee S• <br />Repair <br />__ _ Fee $ <br />Total amount paid to Village....... $_ <br />Signature of applicant <br />Signature of Village Official <br />. <br />