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Village Permit No 1639 <br />Contractor 1� Address- <br />Owner---- <br />ddress Owner_—_ k�4? C�? �' n/ a ✓ Address��o <br />State Licensc No <br />Section No <br />Other Description: <br />Village Liccnse No. -- <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Ba)', Minnesota <br />Date- <br />Parcel No. <br />Lot— Block Subdivision--------- <br />Plat <br />ubdivision — ---Plat No <br />I hereby agree that, in case a permit is granted, all work which shall be clone 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 />Install plumbing systems: Fee <br />Install <br />scwage dislx)sal systems: Fee <br />Repair <br />Install <br />water supply systems: l'ec �— <br />�:VFee <br />Total amount livid to s IIIaKL . ...... S___-• _ <br />Siguaturc of applicant. <br />Signature of ♦Village ial <br />� f, <br />