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city Permlt^O 4956 <br />Contractor. <br />Owner___ <br />s :j/1 .Address. <br />State License No.. <br />. Address <br />.Gty License No.. <br />GENERAL PERMIT <br />CITY OF ORONO <br />A\'* • <br />k <br />Crystal Bay, Minnesota <br />473-7357 <br />Date.9-:ztf- 7? <br />PiarcelNo -------- <br />Section No. Lot Block <br />mat No. <br />Other Description: <br />. Subdivision <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 />shall comply with the Gty Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Wtler Meter:Feel <br />Setm Hookup: (City)Fees <br />lAMaU numbtag Syftems:Feel <br />IbsUI Sewife DUpoiel Systems:FeeS.:^ <br />bisull Wetcr Hookup: (City)Fees <br />bisteO Water Supply Systems: (Well)Fees <br />SAC Fee 1 <br />Stale Surtax:Fee S <br />Total Amount Paid to City ................ <br />Cod*: WMle-FO* Copy; Cauiy-^uqiecloi'i Copy: PInk-Finaiice Copy; Gold-Applicant’* Receipt