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Village Permit Ng 1139 <br />C Contractor w Address <br />' C <br />Owuer Address <br />67 <br />State License No------ _ Village License No. ---- <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date 6 <br />Parcel No. <br />Section No Lot— _ Block <br />Plat No <br />Othcr 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 />9 "Sv <br />Install plumbing systems: Fee $ <br />Install <br />Repair <br />Install <br />Repair water supply systems: Fee $ _ <br />- ---04 t.a� Fee $— — <br />1j . <br />Total amount paid to Villagc........ $ -_ _ ._ <br />1 1, `ro <br />Signature of applicant <br />Signature of Village O 4cia <br />