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Contractor. <br />Owner <br />State License No, <br />Section No <br />Other Description: <br />Parcel No. <br />Plat No <br />Village Permit <br />3738 <br />Address <br />Address ='� _ -' r %� /C <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Ray, Minnesota <br />Lot Block Subdivision <br />r <br />/f <br />Ar <br />Date `r- -- <br />1 hereby agree that, in case a permit is granted, all <br />work u -11w h <br />shall <br />be done <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />listed below. <br />Water Meter: <br />Sewer Hookup-, <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Insta'l Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />State Surtax: <br />[=cc S <br />Fee S <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />[= c.e <br />S Z(', r <br />Fee <br />S <br />FCC <br />S .� <br />Total Amount ['aid to Village........... Fee S /11<70 <br />Signature of applicant <br />Signature of Village Official <br />— h <br />