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Village Permit G 6 033 <br />Contractor Address <br />Owner Address <br />State License No Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Mi. ota <br />Date <br />Parcel No. <br />Section No Lot Block Subdivision <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: Fee $ <br />Install <br />sewage disposal systems: Fee $ — <br />Repair <br />Install <br />Z4k <br />supply systems: Fee $ <br />Repai <br />Fee $ <br />Total amount paid to illage....... $ <br />Signature of applicant <br />,Signature of Vt'Wge <br />Lt'- <br />