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City PermitN? . 5084 <br />I <br />Contractor ' Uu11``'1� Address <br />Owner t� Address <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 -2 <br />Block 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 City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Total Amount Paid to City ......... Fee S /C SG' <br />Code: Whitc•File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />lFi( ILV <br />1G, -00 <br />Water Dietcr: <br />FCC $ <br />Sewer [lookup: (City) <br />Fee S <br />Install Plumbing Systems: <br />FCC S <br />Install Sewage Disposal Systems: <br />FCC $ <br />a of applicant <br />Install Water Efookup: (City) <br />Fee S <br />QSignat► <br />Install Water Supply Systems: (Well) <br />Fee S <br />SAC <br />FCC S <br />Si nature of City Officjat� <br />State Surtax: <br />FCC S <br />Total Amount Paid to City ......... Fee S /C SG' <br />Code: Whitc•File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />