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City Permit ]V9 4635 <br />Address <br />Address ^ 7^7 S^- <br />State License No.City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />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: <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 Surtax: <br />Total Amount Paid to City ........... <br />Fee $ <br />Fee S <br />Fee S <br />Fee $ <br />I ee S / ^ ^ <br />Fee %___________ <br />1-ce S___ <br />l-ce S , So <br />...................Fee $ <br />Code: White File Copy; Canary-Inspector’s Copy; Pink-I inance Copy; Gold-.Applicant’s Receipt