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Contractor /t2L.^- .�.'��� � �r Address <br />Owner <br />State License No. <br />City Permit N? 4 715 <br />0 <br />Address% fic c�zo <br />City License No. <br />GENERAL PERMIT <br />CHY 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 />1 hereby agree that, in case a permit is granted, all work which shall be done and alt. materials which shall be used, <br />shall comply with the City rode of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Water Meter: Fee S 4e. OQ <br />Sewer Hookup: (City) Fee $ <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee S u natu <br />Install Water Hookup: (City) Fee S� <br />install Water Supply Systems (Well) Fee S <br />SAC Fee S Siptature of City Official <br />Stste Surter Fee S <br />i <br />Total Amount Paid to City . .. . . .. . Fee $ djB, is <br />Code While -File Copy; ('angry -inspector's Copy; Pink -Pittance Copy: Gold -Applicant's Receipt <br />