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Village Permit N ° 2166 <br />Contractor L— ' e- c'r ( < f Address-, <br />Owner cI � 1 Q S l F' �f —Address _ ��41��r ✓ c h G �f E ✓✓— <br />State License No Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No <br />Sxtion No Lot Block Subdivision <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, Al 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 />Repair <br />ll- <br />nsta <br />water supply systems: <br />Repair <br />Fee $— <br />Fee-- _ <br />Fee $ �� o <br />Fee $—_ --- <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />i <br />