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City Permit I O 4741 <br />Contractor l�O�lhL9y� J �� <<� Address <br />Owner_ J• fL e Address ✓ �� t�,C.c �Afl. <br />State License No. <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Block Subdivision <br />Date <br />/- �_f - 7;� <br />I hereby agree that, in case a permit is granted, all work which shell 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 />vdt emu o25- <br />,,q4,' K2 CI <br />Water Meter: Fee S 60, N 0 <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee $ <br />Signature o appplic t <br />Install Water Hookup: (City) <br />t--ee $ eel <br />Install Water Supply Systems: (Well) <br />Fee $ <br />SAC <br />Fee S <br />Signature of City Official <br />State Surtax: <br />Fee $ <br />< <br />Total Amount Paid to City .... ..... <br />�7 <br />Fee S / 5- . S C <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy, Gold -Applicant's Receipt <br />