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Contractor <br />f10 <br />i <br />Owner`'' <br />Address -i/L <br />.=address <br />State License No. Village License No. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description : <br />Village Permit Ng 1325 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />0 <br />Date—LL <br />Lot Block--.-- _ Subdivision _ <br />I hereby agree that, in rase a permit 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 />:i11 additional specifications <br />as listed below. <br />Install plumbing systems: <br />Install <br />sL"ige (Iislx)sal systems: <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Total ai -t Nicl to \ illagc:. . <br />Fee $_ ._ _ __.______ <br />Fee <br />Signaturc of applicant <br />Signature of Village Uffict-11 <br />' - __._c - <br />