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Village Permit No 1652 <br />Contractor /,(1'.tJ Address <br />Owncr 6. C e— :Address �i� zi <br />State License No. -._ Village Licensc No. <br />GENERAL PERMIT <br />VILLAGF :�F ORONO <br />Crystal lid;, ''.:innesota <br />Date - — / �5 " � —7 <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 thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: FCC $ <br />Install <br />Repair sewage disposal systems: Fee $ <br />Install <br />to skip)]) s}stcros: Fec $ _ <br />Repai <br />—�- C� �►- - _ Fee �v <br />Signaturc of applicant <br />Signature of Village U/ficial <br />Total amount paid to Village........ S <br />