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City Permiti`j ? 5572 <br />Contractor S*r-�y it1S �'yc4C— Address PI -AIA) <br />Owner lM.2c , O HNX0,10 Address /3B fz tg At n 4 d 67'e <br />State License No. <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 Date <br />Block Subdivision <br />y S� 8 <br />//7 -Z3 <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 />aF Cg -A? -T-- Gu�2Z— cirY I <br />Water Meter: <br />Sewer Ilookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />FCC S <br />FCC $ <br />FCC S <br />Fee S <br />FCC S <br />c.o <br />FCC $ Z� <br />-31 a� "! f yppiicant <br />SAC FCC S Signature of Cit Official <br />State Surtax: FCC S <br />S� <br />Total Amount Paid to City ......... Fee S I� <br />Code: whlte-File Copy; Canarylnspector's Copy; Pink•ITinance Copy; Gold •Applicant's Receipt <br />