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Village Permit No 861 <br />Contractor - v�=�-� — Address-y���e. <br />Owner Address / V,� k I — <br />State License No. -_—_ Village License No. � J <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />bate �' d <br />Parcel No.____ <br />Section No Lotj-- Block_% Subdivision <br />Plat No. —_ <br />Other Description: <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 />Install plumbing systems <br />Install <br />sewage disposal systems <br />Repair <br />Repair ter supply systems: <br />Fee <br />Fee $ <br />FCC $-_.. <br />Signature of applicant <br />Signature of Village Official <br />'Dotal amount paid to Village....... <br />