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Village Permit N° 4293 <br />r <br />Contractor &J22"-X Address <br />Owner ���� `ram,^, Address <br />State License <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date 1A 6 — 7 5 <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: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: <br />Fee S _ <br />Install Water Supply Systems: <br />Fee S 'r <br />Install Sewer Hookup: <br />State Surtax: <br />Fee S <br />Fee S <br />Total Amount Paid to Village....... <br />... Fee 5 <br />Signature of applicant <br />Signature of Village O cial <br />N,� /'M� <br />