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Village Permit No 1643 <br />Contractor Address --- <br />Owner. he - <br />Address -e - <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 Bay, Minnesota <br />Lot Block Subdivision <br />11 -�r <br />Date ,� <br />- , -1 <br />I hereby agree that, <br />in case a peri -nit is granted, all <br />work which <br />shall <br />be clone <br />and all materials which sliall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />sliall <br />include <br />all additional specifications as <br />listed below. <br />to <br />Install plumbing systctns: <br />Install <br />sewilge disposal systems: <br />Repair <br />I nstgll <br />water supply sy stems : <br />Repair f <br />X)e-r <br />Total amount paid to Village. <br />1' cc $_-- <br />Fee <br />l4 ee $ _ <br />Fee � ,� 0 <br />5igilaturc ut applicant <br />10, <br />Sig>>ature of VIIII-W official <br />