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X City Permit^®5203 <br />n Plans <br />zoo <br />b,oO <br />0«1TO MAKE <br />) imtAPiES <br />M«> ACCEPT <br />D <br />Mi uNOfM <br />STfUCT COM <br />I AMO STATE <br />Contractor, <br />Owner <br />State License No. <br />Address <br />_Address. <br />.City License No. <br />OC> Cpc<eaj P7 “. £l> <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 Date ^'V^-20 <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 whicii s?' lil i e 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:Fees <br />Sewer Hookup; (City>Fee S <br />Fee $Install Plumbing Systems: <br />« <br />Install Sewage Disposal Systems:1 ce $ <br />jinstall Water Hookup: fCily) <br />Install Water Supply Systems: tWelD <br />I'cc $ <br />Fee S <br />Feet 1 •^oo-SAC <br />State Surtax:Feel <br />Total Amount f^fd to City .................. . F ee $- <br />Signaluie of applitaW ^ ^ ^ jf. <br />Code: White-l Uf Copy;CflDary Iinpettor'n Copy; Pink Finance Copy; Guld-AppUcani’i Rcjeipt