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City Permit 19 5235 <br />Contractor !!Q J 1)PM <br />CUP_ 8/er'5-- <br />Address <br />5��,/NG Pmj< <br />Owner_ 24_�&es2FL/_ <br />Address <br />Pnin /U- &D A) <br />State License No. City License No. <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Block Subdivision <br />Date <br />%�- 29--2g <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 City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Water Meter: <br />Fee $ <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fec $ <br />Install Sewage Disposal Systems: <br />Fee S 2 <br />Signature of app •ant <br />Install Water Hookup: (City) <br />Fee $ <br />Install Water Supply Systems: (Well) <br />Fee $ <br />SAC <br />Fee $ <br />S allure of City ffic' <br />State Surtax: <br />Fec S <br />Total Amount Paid to City ......... <br />st' <br />Fee $ <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />