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Village PermU N2 977 <br />Contractor. <br />Owner__;^;^^ A ^^7^1 ___^t"-'-- <br />State License No ___________________________ <br />fP/yy iT'f9 ^ <br />\'illagc License Nn ^ 7 V__________________ <br />Address <br />Address. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />S«Ho„ No-UL. l„,_J_ Block. <br />Plat No ________ <br />Other Description: <br />Dntf. fy C 6 <br />Subdivision <br />I 7- <br />I hereby agree tliat, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply witli the Village Code of Orono applicable thereto, and shall inelude all additional specifieations as listed below. <br />Install plumbing s}'stcnis:Fee $_ <br />scw’agc disposal systems: Fee $-£)l <br />Repair <br />Install , . e_ . w-ater supply systems: I'cc <br />Repair <br />________________________ VcQ S- <br />Total amount paid to Village .......... $. <br />- <rtf <br />Signature of applicant <br />Signature of Village OfGcial