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Village Permit N2 1044 <br />Contractor 4Address <br />1 <br />Owner-4 _ _Address <br />State License No. _ Village License No. <br />GE 'TERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />41" <br />Section No Parcel No.3 <br />gam— Lot Plat No. Block—_— Subdivision <br />—_ <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 <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Fee $— - <br />Fee $ <br />Fee $-a—_42=) <br />Fee $---. — <br />Total amount paid to Village....... $.Z'L-1� <br />Signature of applicant <br />Signature of Village Official <br />