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Village Permit ?�Tu 4 3 8 6 <br />I <br />Contractor " '- -f- _ Address <br />Owner ���, "t Address — <br />State License No._ Village License No--- -? <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />l - i- <br />�_` <br />Parcel No. <br />Section No Lot Block Subdivision <br />Plat No. --- <br />Other Description: <br />1 hereby agree that, in case a permit is granted, 211 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 ail additional specifications as listed below. <br />Water Meter: <br />Sewer Hookup: <br />Fee S <br />Fee S _t' el0 <br />Install Plumbing Systems: <br />Fee S _ <br />Install Sewage Disposal Systems. <br />Fee S <br />Install Water Hookup- <br />Fc e S <br />Install Water Supply Systems: <br />Fee S <br />Install Sewer Hookup: <br />Fee S <br />State Surtax: <br />Fee S SC <br />Total Amount Paid to Village....... . . Fee S <'e" S C <br />Signature o%f applicant <br />Signature of Village Offr ial <br />