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Village Permit N4 4417 <br />Contractor Address <br />Owner /� % �'-��� AddressG <br />State License No <br />Parcel No. <br />Section No - <br />Pia: V') <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <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 applicab;e thereto, and shall include all ad tonal specifications as listed below. <br />0 <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />State Surtax: <br />1� <br />Fee S O <br />Fee S _ <br />Fee S <br />Fee S Sign of applicant <br />Fee S� / <br />Fee S <br />Fee S <br />Fee S <br />Total Amount Paid to `tillage.... ...... Fee S &0 _ <br />Signature of Village Official <br />