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W <br />Village Permit <br />Contractor G ��- �''"' U c ' , Addres �G <br />f tf <br />Owner 1" C r`' �! ,•v Addressr--- <br />State License No Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date /'" _-,,L 9 - 7 �- <br />tj <br />Parcel No <br />Section No Lot Block Subdivision ;y , <br />Plat No'y <br />Other Descriptions r„ <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 />-// - -7s- <br />Install plumbing systems: Fee $ <br />Install <br />sewage dis Fee $_L� <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair �j� <br />Fee $--ems` e <br />Total amount paid to Village....... $ �'1' 0 <br />Signature of applicant <br />Signature of Village Official <br />