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Village Permit <br />T T ■>3844 <br />•1 <br />Contractor. <br />/f <br />m//\Ly ■&- <^Uyv!j /■t - <br />• , ■>. . ■ <br />K ' <br />_ Address. <br />Owner./^ A^ { • v.^ / <r <1f Addresi Oornyo /f /^V • <br />State License No <br />U3o^s - <br />Vilbge License No_______ <br />s^.- <br />GENERAL PERMIT <br />s. <br />VILLAGE OF ORONO <br />Ciystal Bay, Minnesota <br />Date. <br />■■ I <br />Parcel No. <br />y <br />Section No Lot Subdivisioa <br />Plat No. <br />Other Description:/V <br />■•-ti <br />! 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 Ibted bdow. <br />________________________________________ <br />llloO 1/rj <br />t- vv -N <br />;?■ <br />Water Meter: <br />Sewer Hookup: <br />F«.t ■S'i- 'v'i <br />Fee $ <br />Install Plumbing Systems:Fee $ <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />Fee $ <br />Fees <br />Fee S <br />Fees <br />Signature of apfdicant <br />State Surtax:Fee S <br />Total Amount Paid to Village ...................Fee S ■ yf <br />Signature of Village Official <br />/ , /' \ / . <br />/C^ A/ l/j / <br />? ... -.n. <br />:/ <br />• \ <br />•’4- '