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Contractor <br />Owner_ _ <br />C <br />4 <br />___. �/ <br />Address <br />Address_ <br />Village Permit Ho 1757 <br />. <br />State License No.� --- _ Village License No_ _ _ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bad-, Minnesota <br />Dat <br />Parcel No. <br />Section No Lot____ Block________ SulxilvlslO11_ <br />Plat No. <br />Other Description: <br />I hereby agree: that, in rase a pennit is grantcd, all <br />work which <br />Tall <br />be done <br />and <br />gill materials which shall <br />be used, shall <br />comply with the Village Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional <br />specificatioiis as <br />listed below. <br />Install pltimbing systems: <br />Install <br />sOVAge disposal SvStcin:)�: <br />Repair <br />Install <br />wpater suppiv systclus : <br />Repair <br />Fee <br />�r <br />14, cc $ <br />Fee <br />TOW asuunt paw to Village.•........ <br />5igniltuic; of dlylicant <br />N <br />Stgnaturc of \ dlaac Offtc,al <br />All <br />