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City PermitN?4882 <br />Contractor Address <br />A ^ <br />Owner Aupa/\Address,Z. I Casco <br />State License No.City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 DateTr5j(kr2I. <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 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 />5T MeT£E <br />rcw^e ^ g'gV-gy? <br />Water Meter:Fees <br />OO <br />Sw-wer Hookup: (City)Fees <br />Install Plumbing Systems <br />Initall Sewafe Disposal Systems: <br />Fees <br />Fees <br />lattaU Water Hookup: (City)Fee S / <br />Signature 4>f api^ant yn jy <br />Instal) Water Supply Systems: (Well)Fees <br />SAC <br />State Soitax: <br />Total AniouBt Paid to Oty <br />I ee S <br />Feel <br />Signature o^ity OITidal <br />......................Fee S <br />0>4e; WMie-Fik Copy,Canary tntpecior*s Copy, Pink Fiiunte Copy ; CoU Appttcanfl Recetpi