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Contractor - <br />Owner <br />lf-if�.� Address <br />Address_ --Y� <br />Village Permit No <br />State License No. Village License No. <br />GENERAL PERMIT <br />Section No -1: n <br />Other Description: <br />VILLAGE OF ORONO <br />Parcel No. 4t"o 0 <br />Plat No.—. <br />Crystal Bay, Minnesota <br />to <br />ry I- �)td <br />,�,,,,,,r�r,.,..,c <br />Lot_____ <br />Block----- Subdivision- <br />I hereby agree that, in case a permit is granted, all <br />work which shall be done <br />and <br />all materials which shall be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and shall include <br />all <br />additional specifications as listed below. <br />Install plumbing systems: <br />1 nstall <br />Repair sewage disposal systems: <br />Install <br />water supply systems: <br />Fee $— __ --- <br />Fee- <br />Fee $ - <br />Fee $-._ __.___- <br />Repair <br />F 14-1 <br />$-7 <br />.-- <br />Total amount paid to Village....... $-- <br />7� <br />Signature of applicant <br />Signature of Village O iLial <br />-.jjjjj� <br />