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Contractor ttic�"� 4 <br />� � Add <br />a <br />Owner t.-' <br />Add <br />Village Permit <br />N° 9158 <br />State License No. Village License No. <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Ray, Minnesota <br />Lot-- Block Subdivision <br />Date e7�> <br />I hcrcby 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: <br />Sewer HookUp-. <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water }lookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />State Surtax: <br />Total Amount Paid to Village <br />17 <br />4 <br />Fee S ' <br />I' e e S <br />Fee S <br />Fee $ <br />Fee S tier"': v v <br />V L' C S <br />I' k e <br />Signature of applicant <br />Signature of Village Official <br />