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Village Permit N o 2106 <br />Contractor Addr� ,>1 44 <br />Owner Address �` r �• 1��-� <br />State License No <br />Parrel No <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date_ <br />I hereby agree that, in case a permit i� granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of O- ono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />Fce $ _ Signature of applicant <br />Fee $ I -A A 1 <br />water supply systems: Fee $ <br />Rclxiir — <br />Y,� Fee <br />Total amount paid to Village....... $_ z <br />Signature of Village Official <br />