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♦l, <br />#: <br />f... <br />Village Permit N9 2182 <br />-■ttr-'*^ <br />! r*.Contractor. <br />Ownpr -^f“ <br />_ Addres! <br />^*L/__ Address ^L^yf <br />State Liccn.se No,Village License No...« <br />' ■> ^ <br />^ VT <br />i *r <br />^ V <br />. V ^ <br />‘ip. <br />GENERAL PERMIT ■t <br />^3 <br />r-; : <br />^ -.= ^'r <br />• . •* . <v:s <br />VILLAGE OF ORONO <br />Cr}’stal Bay, Minnesota ■^l <br />[A*"'' *•■ \ <br />r ■;•'Parcel No. <br />Date <br />Section No,Lot Block.Subdivisioa <br />Plat No, <br />Other Description: <br />■*■ <br />'■- ■: ■ <br />i., <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 tliacto, and shall include all additional specifications as listed below. <br />j <br />Aw.^ / C LJ 3 c G <br /><amBm <br />Install plumbing sy’stems: <br />Install <br />sewage disposal sj'stcms: <br />Rcjiair <br />Install <br />n'atcr supply sj’stans: <br />Fee $.Signature of applicant <br />I'^ee $.dfL <br />Fee $. <br />Kepiir <br />Fee $.9 <br />Total amount paid to V'illagq ........... <br />Signature of \'illage Gficial <br />z* <br />•