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Village Permit Ng 1534 <br />Contractor _ ', ' �-F eUr9_ Address <br />Owner <br />/ f <br />�� �'�_ � ` � ��%�� Address <br />State License No --_ Village Licensc No — <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat 7 <br />Parcel No. <br />Section No Lot— Block— _ Subdivision <br />Plat No <br />Other Description: <br />I hereby agree that, in case a pennit 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 />Install <br />sewage disposal systems <br />Repair <br />Install <br />Fee $— <br />Signature of applicant <br />Fee $ <br />ter s pply systems: Fee $ _ <br />Repo <br />i ,�. <br />Fee $ O <br />Total amount paid to \ illage........ $1 <br />Signature of Village Uflic • I <br />