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Village Permit No 1017 <br />/ l n <br />Contractor�G,l} �► �d x Address 479 S-Gc./C 1, <br />Owner /! <br />Address <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />— <br />Section No Plat Parcel l No.Lot — Block_._ Subdivision <br />Other Description: <br />Dat . 19'(- / <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 />Install <br />sewage disposal systems: <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Nw i5tiL9_ <br />Fee $ _ Signature of applicant <br />Fee $ <br />Fec $ _ <br />["CC $ �� _ Signature of Village Official <br />Total amount paid to Village....... $fir ,"�_ <br />