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<br /> City Permit N° 5540
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<br /> Contractor Address
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<br /> . ` ; State.LicenseNo. City License No. •
<br /> � , GENERAL PERMIT
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<br /> ,,,,,.4.-,_{ CITY OF ORONO
<br /> -W .) j Crystal Bay, Minnesota
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<br /> t �i 473.7357 ! 2 7_79', 'r
<br /> :q• Date
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<br /> '1i 4 Parcel No.
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<br /> ' 'Section No Lot Block Subdivision .",. .;
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<br /> ?( ! I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used,
<br /> 41 il : shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
<br /> # below
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<br /> ,, Water Meter: Fee S
<br /> 1 ' Sewer Hookup:(City) Fee S
<br /> ,` Install Plumbing Systems: Fee S
<br /> 4 Install Sewage Disposal Systems: Fee S gn of^ nt
<br /> .`�?'' Install Water Hookup:(City) Fee f — -^--- 5;17'..qf
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<br /> tInstall Water Supply Systems:(Well) Fee S
<br /> SAC Fee S /a z1/a Sig a City Official ZC.t
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<br /> State Surtax: Fee S ll /(1/
<br /> : Total Amount Paid to City Fee S
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<br /> f 4 q ,- Code:White-File Copy;Canary-I'tspoctor's Copy;Pink-Finance Copy;Gold-Applicant's Receipt
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