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Vii9« Pifmil N! 1M9 <br />?*/ nV' f JW^c <br />Ovna. <br />State Lkemc No <br />7h- 0/. <br />A. <br />/ <br />JL <br />VObfc Lkcnsc No, <br />f^L'^ /P-a/. ' <br />GENERAL PERMIT <br />VILLAGE OF OAONO <br />Oyitii Biy. Mioneota <br />« <br />Block- Sobdivision- <br />OHicr Dncfiplioa: <br />* <br />I iMnbjr afiee Hiet. in ctw a pcnnit it gnnted, all work wWch shall be done and all materials which sliall bo ntod, shall <br />cooqpljr with the \'illifc Code of Orono applicable theicto, oad shall include all additional specifications as Kttad below. <br />/)- /3.-/Z <br />_______________________________^A/.^ <br />Install plumbing sy’stcms:Feel.Signature of applicant <br />Install. icnage dis|)Qsal &)'stcms: Fee $. <br />Repair 'ET <br />Install wrater supply systems: Fee $_ <br />Fee $.iCo <br />Total amount paid to N'illagc............$------------ <br />bignatuic of Village Official <br />MM giLUu^^