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Contractor--�&e _6 L][-4.-%%-. - - <br />State License No <br />Section No <br />Other Description: <br />Village Permit No 1742 <br />Address___ <br />Address <br />Village License No.—_..--_ —_— <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Lot— Block- Subdivision <br />Plat No <br />Date1—�'y — <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 />Install plumbing systems: <br />Fee <br />Install <br />sewage disposal systems: <br />Fee <br />Repair <br />eTMUD <br />water supply systems: <br />lee $ <br />Repair <br />Fee y------- <br />Total amount paid to \ illagc........ S- <br />Signature of applicant <br />Signature of Village Official <br />re - C � --- <br />