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ViNeye PWMH N! 1961 <br />Contractor �___ ['-�i-- lG'� Address --- <br />Owner .Address-2�70! <br />7-7 <br />State license No _ _ Village Ucen.wNo. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat <br />Parcrl No. <br />Sectirm No Lot _ Block Subdivision— <br />Pmt No <br />Other Description: <br />I bereby agree that, in case a permit is granted, all work which shall Ix done and all uaterials 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 />1nstall 1r sewage disposal systems <br />ns <br />water supply systems: <br />Repair <br />Fee $ <br />Fee $ <br />Fee $ 1/ 0'yQ <br />Fee $ <br />Total amount paid to Villagc........ $— - - <br />Sipalure of applicant <br />SFlat'^uic,offVillage <br />hal <br />