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L^v. <br />City permit 6164 <br />Contractor.Address <br />Owner __________________Address r^ <br />State License No..City License No., <br />i<m-. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />■i <br />Date. <br />Parcel No______ <br />Section No____________Lot,Block.Subdivision. <br />% <br />Plat No. <br />Other Description: <br />:*4r- <br />■ <br />1 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:Fees <br />Sewer Hookup: (City)Fees <br />Install Plumbing Systems:Fees <br />Install Sewage Disposal Systems:Fees (\ <br />InstaO Water Hookup: (City)Fees <br />Install Water Supply Systems: (Well)Fees <br />SAC Fees <br />State Surtax:Fees <br />Total Amount Paid to Gty................. . Fees <br />SignaM^f City Official/ <br />JlJJ- <br />Code: White-FUe Copy; Canary-Inspector’s Copy; Pink-Finance Copy; GoM-Applicant’s Receipt