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Contractor <br />Owner <br />Addracc <br />I <br />X d <br />j <br />State License No, <br />Section No. <br />Parcel No, <br />Plat No <br />Other Description: <br />Lot <br />City Permit N? <br />4997 <br />City License No <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Block Subdivision <br />Date /t9 <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 />, - _,�Sgyv <br />Water Meter. <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Dieposal Systems: <br />Install Water Hookup: (('try) <br />Install Water Supply Systems (Well) <br />SAC <br />Fee 6o.00 <br />Fee S <br />Fee f <br />Fee f <br />Fee S 5 to <br />Fee S <br />Fee S <br />State Surtax Fee S , C <br />Total Amount Paid to City Fet f <br />Code White -File Co"; Canary Inspector's ( opy. Pink -Finance Copy: Gold -Applicant's Receipt <br />of <br />