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Contractor-- -,[!u'v <br />Owner—.1-1Address <br />Village Permit N° 1954 <br />_Address <br />41 <br />le., _j ( _ <br />Statc License No. __ __ __ ___ _ _ _- <br />_ __ Village <br />License No. <br />be donc <br />and all materials which shall <br />GENERAL <br />the Village <br />Code of Orono applicable <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />BI(xk_._. — Subdivision--- <br />I <br />ubdivision— ___ <br />I hereby agr ' that, in rase a permit is granted, all <br />work which <br />shall <br />be donc <br />and all materials which shall <br />be used, shall <br />comply with <br />the Village <br />Code of Orono applicable <br />thcreto, and <br />shall <br />include <br />all additional spceifications as <br />listed below. <br />Imtall plumbing system: <br />SmAge dispc . , I systans : <br />Rqnk <br />t ns#�Il <br />ter supply wystcIlls <br />Rj <br />1, <br />TOW ,nK,nt pod to ♦ 116gt _ <br />Fec <br />Fee S --- --- — <br />y-. <br />Sg0aturc° of Applic-ant <br />siglWhIrc of ♦'111W ul <br />