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Village permit N° 3 9 4 6 <br />Contractor / l Address <br />Owner /� .Address �� <br />State License No. <br />Section No — <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, 'Minnesota <br />Parcel No. -- <br />Plat No <br />Lot Block Subdivisi <br />Date <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 specifirations as listed below. <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Install Sewer Hookup: Fee $ <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fee S <br />Signature of applicant <br />i <br />Signature of Village Official <br />A <br />-4 <br />/) <br />(% e h ., <br />