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Village Permit N? _ 4587 <br />Contractor ------Addrcss- <br />Owncr_ <br />State License No._ <br />AHHrfKc t- <br />Village License No _____________________________ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date _y' / <br />Section No. <br />Parcel No._ <br />Plat No — <br />Block.Subdivision- <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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter:Fee S <br />Sewer Hookup:Fee $ <br />Install Plumbing Systems:Fee S <br />Install Sewage Disposal Systems:Fees <br />Install Water Hookup:Fee S <br />Install Water Supply Systems:Fee S <br />Install Sewer Hookup:Fee S <br />State Surtax:Fee $ <br />Total Amount Paid to Village .......... <br />Signature of applicant