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r <br />City PfennitN?5325 <br />Contractor <br />Owner /^o u/aJ________ <br />Address h^pcjorAj /• sr /ts> g~ <br />State License No. <br />Address Z.f-/3 C-y'^AJ^f <br />City License No._____________• <br />GENERAL PERMIT <br />OTY OF OBONO <br />Parcel No______ <br />Section No.___________ Lot, <br />Plat Ntf- ,, <br />Other Description: <br />Crystal Bay, Minnesota <br />473-7357 <br />K \ <br />Date ^ ~ *7 ^ <br />Block,Subdivision, <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 Qty Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Pig4 /AlF7gj-D le <br />Water Meter:Fees <br />Sewer Hookup: (City)Fees <br />Install Plumbing Systems:Fees <br />Install Sewage Disposal Systems:Fees 2.0 <br />Install Water Hookup: (City)Fees <br />Install Water Supply Systems: (Well)Fees <br />SAC Fees <br />State Surtax:Fees <br />sro <br />Total Amount Paid to City................— <br />Code: White-FUe Copy; Canary-Inspector’s Copy; Pink-Finance Copy; Gold-Applicant’s Receipt