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Village Permit N° 1341 <br />Contractor �- <br />— Address_ <br />Owner�tt �t ✓ Address ` �'''J e% <br />State License No — Village iccnsc No. <br />GENERAL 1 ?RMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date— <br />Parcel No. <br />Section No Plat No Lot— 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 />Install plumbing systems: Fee $ <br />Install <br />Repair sewage disposal systems: <br />Fee $ <br />Install <br />water supply systems: <br />Re <br />1'ee $74 _ <br />� <br />Fee $�— <br />Total amount paid to Village........ <br />�r <br />$— !.:) <br />Signatc:rc of applicant <br />A <br />Signature of Village oTcial <br />