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Village Permit No 1212 <br />ContractorAddress <br />Owner_—__ 1'IL_ _� /_t� iYi_ Address i —'� v I /1 <br />State License No.—_.-_ _ __ ___—___ _____ _._____ Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date— <br />Parcel <br />ate Parcel No. <br />Section No Lut-- Block—.—._ Subdivision-----.--- <br />Plat <br />ubdivision— Plat No <br />Other Description: <br />I hereby 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 />Install plumbing systems: <br />Install <br />scwan;e dispxwsal sy,,tcuis <br />Repair <br />Ins > <br />s"Atct suppls �s`tcua: <br />Repair <br />Fee $— -- <br />Fee $----- <br />Fee <br />----Fee $ 6 Q <br />Fee $--- ---- <br />Total amount laud to \ it.Agc........ $-- - <br />Signature of applicant <br />Sipaturc of Villagc Ofb I <br />/It___� <br />