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■'rmM -4*10 I <br />Village Permil N2 1721 <br />Contractor ____________________f.C^ <br />0\nicr___tX______________ <br />Address <br />/TO ^f Address f~C' uJ»'»/Q <br />State License No.._ X'illage License No,. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesot? <br />Date. <br />Section No. <br />Parcel No. <br />Flat No_ <br />Lot Block.Subdivision <br />Other Description: <br />I hereby agree that, in ease a painit is granted, all work which shall be clone and all inaferials which diall be used, slull <br />comply witli the \'illagc Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems:Fee S.Sigiuturc of applicant <br />Install — „scuage disposal ss^tems: F«; S. <br />Repair <br />Install /^tcr supply sNsternv; <br />RcpaifL —^ ' <br />__ll^jLC^y2\ JB __ <br />l ee > . <br />K«. %jSlh G <br />Total amount paid to \ iUagju.............— <br />Signature of \ illagc O^ul <br />A dr/M^