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, <br />Contractor-- <br />Owner �f�� 01+ �/ �' t �� nom_ <br />State License No <br />Parcel No <br />Section No <br />Village Permit N2 2158 <br />Villag:: License No— <br />GENERAL PFR MIT <br />VILLAGE Of <br />Cn,stal BaN. ' <br />Plat No__ -- <br />Other Description: <br />Lot Block <br />,T O <br />Date <br />!� 4�. - J <br />Sutx .. ~ion___ <br />1 hereby agree that, in case a pennit is granted, all <br />work which <br />shall <br />be done <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />listed below. <br />Install 19urnbing Fee V <br />10+tall <br />'WWAKr disptrwl .V\tela% FCC $ —� <br />K"it <br />111 a.ill <br />wyte't su) .vstrut. FM <br />K4 lu r f <br />OF <br />Kee s_1.M�—o <br />TOW mount pond vier . ..... IL _ <br />signatum of apphewd <br />s4putare 44 <br />