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Village Permit N? 4141 <br />Contractor.■ ^ (). P( iZlMi <br />Owncr. <br />State License No.. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />DatCL <br />Section No. <br />Parcel No.. <br />Plat No- <br />Block.Subdivision. <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 />Water Meter:Fee S <br />Sewer Hookup:Fees <br />Install Plumbing Systems:Fee $ <br />Install Sewage Disposal Systems:Fees <br />Install Water Hookup:Fees <br />Install Water Supply Systems:Fees <br />Install Sewer Hookup:Fees <br />State Surtax:Fees <br />Total Amount Paid to Village ...................Fee S. Fee $ ^ <br />Signature of applicant <br />Signature of Village Official <br />hrvi 'R^ (A'L ihAu.