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s <br />,'^.r City Permit N?4837 <br />Contractor <br />Owner <br />Address. <br />Address.^^o7o <br />State License No.City License No., <br />GENERAL PERMIT <br />CITY (*■ ORONO H <br />i-. <br />' : 'VH <br />'i. <br />Crystal Bay, Minnesota <br />473-7357 <br />Date.^ ~^a -77 <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 />lartafl numbiag Syitems: <br />butal Sewage DiipoMl Sy ttemi: <br />bsta Water Hookup: (City) <br />luataB Water Supply Syeteuu: (Well) <br />SAC <br />State Surtax: <br />Total Amount Feld to aty............ <br />Feet <br />Fees <br />Fees <br />Fees <br />SignaU|m of applicant <br />Fees 37SUfO <br />Fees__________ <br />Fees <br />Code: WUto-Fge (7opy:Canary-Inqiector ’s Copy; Pink-Finance Copy; Gold-Applicant’s Receipt