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City Pfermit^O 4714 <br />Contractor__ <br />Owner______^c£a <br />Address. <br />Address 3o <br />State License No.City License No.. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Parcel No______ <br />Section No.___________Lot. <br />Plat No_______ <br />Other Description: <br />Crystal Bay, Minnesota <br />473-7357 <br />Date. <br />Block.Subdivision. <br />I hereby agree that, in case a permit is granted, all work which shall be done and all matenals 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 />aJ /M-?C <br />Water Meter: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Fee$ <br />Fee$ <br />Fees <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />SAC <br />Feel <br />Fees <br />Fees <br />Fees <br />State Surtax:Fees ,sro <br />Total Amount Paid to City................ <br />Signature71^, <br />Signature of City Offici <br />Code: White-File Copy; Canary-Inspector’s Copy; Pink-Finance Copy; Goid-Applicant’s Receipt