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.•’I <br />City Permit 5995 <br />Contractor ^>77>£>OCA _ <br />Owner J<^4A^ST¥=ie <br />Address _____________ <br />Address -5?, /^filaLuAJ <br />State License No.City License No. <br />GENERAL PERMIT <br />CITY OF OBONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date <br />.-A <br />Parcel No. <br />Section No.Lot .. Block Subdivision <br />Plat No. <br />Other Description: <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 />^TtL <br />Water Meter:Fee$ <br />Sewer Hookup: (City)Fee $ <br />Install Plumbing Systems:Fee $ <br />Install Sewage Disposal Systems:Fee $ <br />Install Water Hookup: (City)Fee $ <br />Install Water Supply Systems: (Well)Fee $ <br />SAC Fee S <br />State Surtax:Fees <br />Total Amount Paid to City................ <br />»—y -!T® <br />. . Fees ---- <br />Code: White-File Copy; Canary-inspector ’s Copy; Pink-Finance Copy; Gold-Applicant ’s Receipt