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1 <br />Village Permit NS 965 <br />Contnictor_^j4>« <br />Ownct- <br />Address__ <br />Address-^.<?? %-^qn^uL(^^^ <br />State License No.V'illage Ucense No.62 <br />^general permit <br />P/^i^TA VILLAGE OF ORONO <br />7 ® Ciystal Bay, Minnesob <br />Section N o .2^ Pared Nc^Cba <br />Date <br />Plat No. <br />Subdivisioi <br />Other Description: <br />I hereby agree tha^ 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 />Install plumbing systems:Fee $.Signature of applicant <br />sewage disposal systems: Fee $. <br />Repair <br />Install <br />Repair <br />water supply systems: Fee $. <br />Fee $.Signature of Village Official <br />Total amount paid to Village.