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Village Permil No 1330 <br />Contractor :--�G C li- �iUL�P Address A"T; <br />owner e a— Address / 3,,-9,-? <br />State License No. Village License No <br />Section No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date— <br />Parcel <br />at Parcel No. <br />Lot Block__ Subdivision <br />Plat No <br />I hereby agree that, in rase 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 />Insta;; plumbing systems: <br />Install <br />sc%vagc disposal systems: <br />Repair <br />1 <br />vatcr supply systems: <br />Repair <br />hee $ Signature <br />of applicant <br />0 <br />ree $ � 1 <br />I'ee $►O!7_ <br />rce $ <br />Total amount paid to Village........ $ 10 * 00 <br />Signature of Village O cial <br />A <br />1Cc ' <br />