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Contiactor. <br />^ '-.-r w »* j, <br />Viliage Permit N9 2523 <br />1^ tolS-c^ny <br />Owner.^^lAlrU t ^/hMju^ <br />Address ioh /f £/Address. <br />State License No.Village License No. <br />K. <br />■'■■.- -Q: ■•* <br />":V, - '■ :.-V. <br />- * <br />GENERAL PERMIT ♦ ‘ .• <br />f ? • > -7 <br />:Cf, . ■ <br />VILLAGE OF ORONO <br />icE^^ELi • <br />Crystal Bay, Minnesota j||^P <br />/ <br />Parcel No. <br />Section No.Lot Block.Subdivision. <br />Plat No. <br />OUier Description: <br />i -r . <br />•#■-'• -I ■> 'i 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 thereto, and shall include all additional specifications as listed below. <br />' > : III / C -/ . <br />i-- .._\1Fee $.Install plumbing systems: <br />Install <br />sewage disposal systems: Fee $. <br />Repair <br />Signature of applicant <br />r «• <br />ter sypply systems:Fee $. <br />Fee $./A ^0 <br />Total amount paifl to Vilbge ..........$. <br />Signature of Village OiTicial'Ml <br />A.:L. <br />%'J