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Village Permit 283'2 <br />1�71 <br />Contractor Addres _ <br />Owner <br />�Address <br />State License <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />N -page License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cnstai Bay, Minnesota <br />Lot Block Subdivision <br />Date 10 _ �— 7/ <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 ds <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Fee $ <br />Fee $ /r` . o a <br />Fee $—_ <br />Fee $�_L C <br />Total amount paid to Village....... $ <br />Signature of applicevt <br />Signature of Village Official <br />