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Contractor -:i _ Address7,�—r f <br />Owner`����� � �E�-_ Address!�egj3' ' r <br />State Liccnsc No. _ <br />Parcel 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 />Village Permit Ng 1982 <br />Date C f k l�l <br />Lot.---- Block—__ Subdivision----------_ <br />I hereby agree that, in case a permit is granted, all work which shall be done ano 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 />i <br />Install plumbing systems: <br />Fee -- <br />Install <br />sewage disposal systems: <br />Fec $ <br />Repair <br />Install <br />water supply systems: <br />Fee $ -- <br />Re it <br />— <br />Fee $� <br />Total amount paid to Village........ <br />Signature of Village Official <br />- <br />r --lam <br />