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City Permit N?6529 <br />Contractor <br />Owner fA^<1«~£- <br />Address /OCd _ <br />Address <br />State License No.City License No. <br />GENERAL PERMIT <br />cm OF ORONO <br />Parcel No. <br />Section No.Lot <br />Plat No. <br />Other Description: <br />Crystal Bay, Minnesota <br />473-7357 <br />DafP // - / <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 ail additional specifications as listed <br />below. <br />Atoue jtk/ <br />^e-.v<^qOA.L-.. ^-p kokL*^ <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; (Weil) <br />SAC <br />State Surtax: <br />I ee $ <br />Fee S <br />F ee $ <br />I ce $ <br />Fee S <br />Fees <br />Fee S <br />1(»S <br />Signature of applicant ^ ________ <br />Total Amount Piiid lo City......................I ce S /CO • ^ ^ <br />Code: Whit^Fikf Copy ; Canary»lnipevtor*i Copy; Pink-FinanA:e Copy; GoM-Applkant ’i Receipt