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I ■ <br />City Permit ^®6089 <br />- <br />%GENERAL PERMIT <br />OTY OF ORONO <br />Crystal Bay, Minnesota <br />413-1357 Date <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 />Water Meter:Feel <br />Sewer Hookup: (City)Fee $ <br />Install Plumbing Systems:Fees <br />InttaO Sewage Disponl Systems:Fee $ <br />Install Water Hookup: (City)Fees <br />Install Water Supply Systems: (Well)Fees <br />SAC Fee S <br />State Suriast:Fees <br />Total Amount Paid to City.................. . Fees <br />Signature of apdicant J <br />Code: White-File Copy ; Canary*intpcctorN Copy; Pink-Finance Copy ; Gold*AppIicant^ Receipt