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Village Permit No 2042 <br />Contractor � - - �" 1— Address 2,'K fr 3 �/� � -'" d l ,.) <br />— <br />Own Address- G v �= �ti 1 <br />State License No <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 Subdivisirm__ <br />I hereby agree that, in cast 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 />Fee $ Signature of applicant <br />Fee <br />R water supply systems: Fee $ <br />Fee $ <br />Total am^unt paid to Village........ $217-eL <br />Signature of Village Official <br />