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Village Permit No 1205 <br />Contractor ) res�jh h PGa) Q <br />_ <br />Owner ddress � ,5 4r reGyl --- <br />State License No —__ Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota /^ <br />Date — <br />Parcel No._ <br />Section No Lot —__ Block__ Subdivision ______ <br />Plat No <br />Other Description: <br />1 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 />Install plumbing systems: Fee $ _ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />tl—n 0 © C <br />water supply systems: Fee $�_ <br />Repair <br />Fee $ — <br />Total amount paid to Village........ $ <br />Signature of applicant <br />Signature of Village fficial <br />