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Village Permit i 3544 <br />Contractor.1—& n e. 1'^ lAJc. I ( <br />nwtipr > ! > o r- > <br />Address.IllA n r r <br />Addrcss- <br />State License No..Village License No.. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crj-slal Bay, Minnesota <br />Date:./- 5 <br />Section No. <br />Parcel No.. <br />Plat No- <br />Block. Subdivision. <br />Other Description: <br />I hereby agree that, in case a |x:nnit is granted, all work which shall be done and all matcrialsvwhich 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 />Fee $_ <br />Reixiir <br />Install <br />Rcjwir <br />sewage disposal systems: Fee $_ <br />water supply systems: Fee %^LQ_^OjO_ <br />________ _ Pec 5 < 0 <br />Total amount paid to Village ...........%!'0 • ^ C?.. <br />Signature of applicant <br />Signature of Village Official <br />yV)t Cp