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Village Pifmif f»2 3335 ,, <br />Contractor _^//:<■/yj/pX/ /'~y?<'>K <br />'Address.-Vi.//' <br />Owner ___ILH" /V iv/}' / <br />// <br />Addrcss- <br />State License No.Vilbge License No. <br />V- <br />GENERAL PERMIT <br />\ <br />r <br />VILLAGE OF ORONO <br />Co’stal Bay, Minnesota <br />- 'i <br />\ ^ <br />pT / i <br />^ f ■ <br />Date-fo <br />Section No. <br />Parcel No. <br />Plat No- <br />Subdivision.i <br />Other Description: <br />ft j*•4 <br />I hereby agree that, in ease a permit is granted, all work which shall be done and all materials which shall be used, shall <br />r'fMcomply with the Village Code of Orono applicable thacto, and shall include all additional specifications as lisled bdow.i. <br />V <br />• / <br />-ym 4) <br />Install plumbing systems: Fee $-----------^— <br />Fee <br />Repair <br />) Install <br />water supply systems: Fee $---------------- <br />Repair <br />t' !' Fee $_ L <br />Signature of api^icant <br />Total amount paid to \'illagc./ /H , C <br />Signature of Village OfiBcial <br />JCr ■h ir fj(h