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CityPtennitN? . 4833 <br />Contractor Address <br />Owner ___________Address ^^ ^ J^y^ <br />State License No..City License No.. <br />GENERAL PERMIT <br />cm m QRONO <br />Crystal Bay, Minnesota <br />473.7357 <br />Date ^ ^ ^ <br />Parcel No. <br />* â– ;' <br />r Section No.,Block. Subdivision. <br />Plat No. <br />Other Description:1 <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 i . <br />lutal SewiSB DIvonI Systemt: <br />ImtaO Water Hookup: (City) <br />Feet <br />Fees <br />Sifiutuie oC^eppUcant ^ <br />InnaO Water Supply Systemt: (Well) Fee $ <br />SAC <br />State Surtax: <br />Fees <br />Fee S « 6 O <br />Total Amount Paid to Qty..................Fee S <br />Code: WMte-File Copy; Canary-Inipector’ft Copy; Pink-Finance Copy; GoM-Applicant*t Receipt