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City Permit N 9 5590 <br />Contractor D /In 4E.-c— jRkU S . Address SIN& � AeK <br />Owner �'� Sk-, " ' Address 3yS 7 <br />State License No. <br />Parcel No. <br />City License No <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />Date �,— 7` 7 9 <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 Orona applicable thereto, and shall include all additional specifications as listed <br />below. <br />SA <br />G- 7-7 <br />Water Meter: Fee S <br />so <br />Sewer Hookup: (City) Fe•; S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee $ Sig n%%t uc app cant <br />Install Water Hookup: (City) Fee S i� <br />Install Water Supply Systems: (Well) Fee S <br />SAC Fee S Signature of Cit ffici <br />eo � <br />State Surtax: Fee $ <br />elf> <br />Tout Amount Paid to City . .. . . .... Fee S !O. <br />Code: White -File Copy, Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />