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Village Permit No <br />Contractor ��L_Sds� Address —_. <br />r <br />Owner _ Address_ / % <br />State License 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 />Date-o <br />Lot_ _ Block_ _ Subdivision—___ - <br />1603 <br />I hereby agree that, in case a permit is granted, all work which shall be clone 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: Fee: $ <br />Install <br />Repair sc"vage disposal systems: Fee $ <br />Install <br />eater supply systems: Fee $ _ <br />ReTj"'h <br />--y` -- Fee $ j J �� <br />Total amount paid to \ illage........ <br />Signature of applicant <br />Signature of illage Off ial <br />Y � <br />