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Contractor <br />Owner <br />f <br />State License No <br />Village Permit No 1900 <br />Address <br />Address �' .�—_i_ t�"f41 <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Lot— 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 tlhcreto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Install <br />Repair sc\%•agc disposal systems <br />Install <br />eater supply, systems: <br />Repair <br />---�c •c n t <br />Fee $ <br />Fee $ <br />I' ee $ _ <br />Fee J — <br />Siguoturc of applicant <br />Signature of Village Official <br />Total amount paid to Village....... $— <br />