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Contractor_ <br />Owner _ -- <br />State License <br />Section No— — <br />Other Description: <br />Village Permit N° 1730 <br />Address __-__-____ <br />address_ <br />Village License No.—_ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date _Z_ <br />_.21? <br />Parcel No. _ <br />Lot-------- Block-__ - Subdivision---_- <br />Plat No <br />I hereby agree that, in case a permit is granted, all work which shall be dove ar ' all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all auditional specifications as listed below. <br />Install plumbing systems: Fee "+ <br />Install <br />Repair sc`cagc diq)o%al systems: Fee <br />Install <br />seater SU ply systems: Fee <br />Repxa � J <br />_ — Fee <br />Total amount paid t1viliagv.... <br />Siglu+turc of applicant <br />Signature, of illaac O$cia) <br />