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village Permit N? _ 4362 <br />Contractor Pr,//i?iP Addr <br />Owner.Addres:, /:^9a <br />State License No.^'72^4 __________Village License No <br />i/ ^ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date./3- <br />Section No. <br />Parcel No. <br />Plat No- <br />Block-Subdivisic <br />Other Description: <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 Vilhgc Code of Orono applicable thereto, and shall include all additional specifications 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 />Install Sewer Hookup: <br />State Surtax: <br />Total Amount Paid to Village... <br />Fees___________ <br />Fees___________ <br />Fee S____________ <br />Fee $____________ <br />Fee S ■ ___ <br />n.... <br />Fee $___________ <br />Fee S_____< <br />Signature of applicant <br />u <br />Signature of Village Official