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<4^Vijttg« Parmil IJ2 3094 <br />Contractor.'f^JL^'Y) icCuA- <br />Owner. <br />/ <br />Address-nAjt^ <br />'u <br />Add"*** fl <■/'^/^t^^ ' /^ <br />Slate License No..Vflbge License No- <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />DatCL ^-rn- 7v <br />Parcel No.. <br />Section No.Lot-Subdivisic <br />Plat No. <br />Other Description: <br />I hereby agree that, in ca.se a permit is granted, all work wliich shall be doiK and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thacto^ and shall include all additional specifications as listed below. <br />7 /ir77>,- ___________________ <br />hiLihx^ <br />Install plumbing systems: <br />Install <br />Fee $-Signature of applicant <br />Repair <br />sewage disposal systems: Fee $_ <br />Install <br />p <br />F.-, $ !f'. c.o. <br />Repair <br />water SI <br />;fr7T Fee $_/) o Signature of Village Offieial <br />lotal ameunt paid to Village. <br />'7n» ftx. <br />y Ir'SO (" 7>') Kt f~k- I fCt.jL- <br />6<?-77