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City Permit 6539 <br />Contractor. <br />Owner A l/f t\ /t^ y f\ <br />Address S S' 3 ^c?- <br />}r^Address ------ <br />State License No. <br />Parcel No. <br />Section No. <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Lot <br />Crystal Bay, Minnesota <br />473-7357 <br />Date y/ v5~ ~~ cf' / <br />Block Subdivision <br />IhanlX'tJ.'lflhfciirCod^^ “k, T" *hich shall be used,below. ^ of Orono applicable thereto, and shall include all additional specifications as listed <br />\A/ wC "V-t-" 1V > i ^3 a /3l <br />^ //^ 9> <br />Co/// <br />do ySPJJLi^^ /^Ooko^ <br />GO <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 />State Surux; <br />Fees IG. 00 <br />F ee $ O. (JG <br />Fc6 $ ^ « OO <br />Fee $__SienatuK of a•t^ of applicant ^ ----- <br />_ KJ ____'Jtir ------ <br />Signature of City Official <br />. 60 <br />Total Amount Paid to city ......................Iee 6 . SO <br />Code: White Fy* Copy;Canary Inspector’s Copy; Ptnk Finance Copy; Gold Applicant’s Rec-eipt <br />^ «L < ~ ^ , fj tt