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, Village Permit :.. 3383 <br />Contractor �'��'�"Address <br />J � <br />l 4 <br />Owner' "' `""'' `b 't= Address () <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date i — J % —1 <br />Parcel No. Y" <br />Section No Lot Block Subdivision 't <br />Plat No <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: <br />Instal; <br />sewage d' <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Fee $ <br />Fee $ ID - c d <br />Fee $ <br />Fee $-- <br />Total amount paid to Village....... $- O <br />Signature of applicant <br />Signature of Village 015621 <br />