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Contractor <br />Address <br />Cue—► Aua ea U Ad <br />State License No. <br />Section No. <br />Parcel No. <br />Plat No. <br />Other Description: <br />City License No. <br />City Permit No <br />S <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block <br />473-7357 <br />Sub ';vision <br />6295 <br />Date (0 8 <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 />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />SAC <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee S <br />Fee $ c2o, <br />Fee $ <br />State Surtax: Fee S "so <br />o <br />Total Amount Paid to City ......... Fee S , To <br />Code: W)dte•File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />