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City Permit N° 4605 <br />Contractor Address <br />Owner J Address�L_�� <br />State License No. City License No. <br />GENERAL PERMIT <br />LTI'Y OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 76 <br />Date (o <br />Parcel No. <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <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 Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />��0 3 <br />Water Meter: Fee S <br />Sever Hookup: (City) Fee $ O- D O <br />Install Plumbing Systems: Fee S <br />testa Sewage Disposal Systems: Fee $ Si of applicant <br />Install Water Hookup: (City) Fee $ <br />Install Water Supply Systems: (Well) Fee $ <br />SAC Fee S _ Signature of GIN OfE <br />State Su-ax: Fee S . 6-0 <br />'00000000�"'; <br />Total Amount Paid to City ......... Fee S J O <br />Code: White -Fib Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />