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' <br /> City Permit No - 5347 a <br /> _oe • <br /> Address �'� <br /> Contractor=.�/('�`� �� <br /> __ Address <br /> Owner �� � µ <br /> City License No. <br /> State License o. <br /> GENERAL PERMIT <br /> CITY OF ORONO <br /> Crystal Bay, Minnesota <br /> 473-7357 Date /0--4 <br /> Parcel No. <br /> Section No. _____---- Lot <br /> _Block _Subdivision,. <br /> Plat No. <br /> ..‘i <br /> Other Description: <br /> , <br /> Fe <br /> • iI hereby agree that, in case a permit is granted, all work which shall be done alld a all <br /> materiaitoval isswhich <br /> shall be used _ <br /> ?1t shall comply with the City Code of Orono applicabte thereto, and shallinclude <br /> 'i below. <br /> M __ -— <br /> s <br /> --- - <br /> • —_--_--- <br /> Water Meter: Fee$ <br /> l Fee S_.____-- i <br /> Sewer Hookup:(City) <br /> Fee S 1 <br /> Install Plumbing Systems: z <br /> Signature or appiic nt <br /> .,, ,• Disposal Systems: Fee S _ <br /> � Install Sewage Po � ��� � --'—' <br /> i• install Water Hookup:(City) Fee S <br /> Install Water Supply <br /> Systems:(Well) Fee S ___-__-__— <br /> �' <br /> — Signatut o City Orli'131 1\ (,e / • , <br /> : eua .' <br /> 1 <br /> Total Amount Paid to City l er S , .__' ,.„..57' <br /> C.de:White-File Capt':Canary-Inspectors Com.,rink-1 mince Copy;Cold-Srrtir,n!.%me^r' <br /> s ', t <br /> � s y. 0 1 . e , •c ' <br />