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r- - <br />f f • <br />Villag« Permit N? ^ 4233 <br />Contactor.I-Address. <br />Ownei ___^Address.■^«/g P\A I i PJ~ <br />State License No.Vilhge License No. <br />■ ■ A <br />GENERAL PERMIT <br />VILLAOZ OF OBOHO <br />Crystal Bay, Minnesota <br />5|.Date. <br />'section No. <br />Parcel No. <br />Pbt No- <br />Subdivision. <br />Other Description: <br />■ ^ <br />..hi <br />•'• >( <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 bdow. <br />Water Meter:Fee & <br />Sewer Hookup:.0 i <br />Install Plumbing Systems:Fee S <br />Install Sewage Disposal Systems:Fees <br />Install Water Hookup-Fees <br />Install Water Supply Systems:Fees <br />Install Sesrar Hookup:Fees <br />Sttte Surtax:F«I .SO <br />Total Amount Paid to Village...............Fee S AO . c0 <br />Signature of applicant <br />Signature of Village Officia] <br />/yh ^ A