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Village Permit N" 1958 <br />Contractor la r r Address / 447Ad <br />Owner. n rr �� Address <br />State License <br />Section No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date !Z / <br />Parcel No. <br />Lot— Block Subdivision — <br />Plat No <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: <br />sewage disposal systems <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Fee $ — <br />Fee $ <br />Fee $ <br />Fee $ <br />Signature of applicant <br />Signature of Village Official <br />Total amount paid to Village........ $—_ - — <br />