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Village Permit No 996 <br />Contractor Address <br />J <br />OwnerAddress-jy--'& ��---- <br />State License No. —___ Village License No. 75 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date 11�/Ac a !!�- <br />Parcel Nolvo <br />Section No // Plat No Lot__— Block_— Subdivision � �� <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 s'iall include all additional specifications as listed below. <br />Install plumbing systems: Fee S <br />Install <br />sew -age disposal systems: Ic <br />pais e <br />Install <br />water supply systcmS: FCC 5 - <br />Repair <br />Fee 5-- — <br />Total amount paid to Village....... $ 7 <br />Signature of applicant <br />Signature of Village Official <br />