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City Permit INN. 4666 <br />ContractorJ&Xe,�s Address <br />Owner ��''J��''� Address c7lS "'�a• <br />State License No. <br />Parcel No. <br />City License No, <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Section No. Lot Block Subdivision <br />Plat No, <br />Other Description: <br />Date /O " ,�6 -- 76 <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 />1•ee S <br />Seaver Hookup: (City) <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fec S plicact <br />Install Water Hookup: (City) <br />Fee S <br />Install Water Supply Systems: (Well) <br />Fee S —fO, 00 <br />SAC <br />Fee S Sign urc (''t(7 )fficial <br />State Surtax: <br />Fee S <br />Total Amount Paid to City . .. . . . .. <br />. Fee $ <br />Code: White -File Copy; Canary -inspector's Copy: Pink -Finance Copy. Gold -Applicant's Receipt <br />