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City Permit N? <br />4731 <br />Contractor/•(/o �1_ j:;,� G�tl�-� , Address <br />Owner Address 350 9 L=am SCs� �'` ,e. le <br />ss <br />State License No. <br />Parcel No. <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 -� <br />Date,/— 3— 7-;-"* <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 />j/P to <br />10 <br />Water Meter: <br />Sewer 1400kup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install water Supply Systems: (Weill <br />SAC <br />State surtax <br />Total Amount Pad to Oty <br />elo <br />Fee $ 4Le'0 gro <br />Fee S <br />Nee t <br />Fee $ <br />Fee $ <br />Fee S <br />Fee S <br />Fee S <br />.. Feesif& ' <br />U <br />S I F nj(u vi of appia,. a n t <br />�e-0, <br />S1g11.4ltl1e of (its O(ti. s.rl le <br />Co&: Wbilwh a Copy. Canatr_v-1"%FW" !'ur's Copy. Pink -V inance CtWy. . GaM- Applh�axt', Itenipt <br />