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CityPtotmit N? 6532 <br />Contractor. <br />State License No.. <br />.Address. <br />nwii«>r . Address <br />.City License No. <br />/9 9^ <br />GENERAL PERMIT <br />cm OF ORONO <br />s <br />PWcel No-------- <br />Section No.___________Lot. <br />Plat No_______ <br />Other Description: <br />Crystal Bay, Minnesota <br />473-7357 <br />Date.A-L 3. ^rsl <br />Block..Subdivision.-1 m <br />I hereby agree that, in case a permit is granted, ali work which shall be done and all materials which shall be used, <br />shall comply with the City Code ofOrono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Water Mater: <br />Sevar Hookup: (City) <br />butaOnumbiaf Sytteott: <br />buua Sawaia CNipottl Syttemi: <br />lAita Water Hookup: (City) <br />faiftaa Water Supply Syitemt: (Wal> <br />SAC <br />State SurUx: <br />Feel. <br />Feel. <br />Feel. <br />Fees. <br />Fees, <br />Feel. <br />Feel__________ <br />Total Amounl PtM to Qiy...................FeoS 690. <br />Code: WMlo-Filt Copy; Cuary-liivectoil Copy; Pink-FteMce Copy; CoM-AppUcani't Receipt