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Contractor <br />Owner___ <br />State License No. <br />Address. <br />Address. <br />City Permit ^9 5564 <br />(lIcXcA. <br />_City License No.. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date. <br />Parcel No _____ <br />Section No ------------------Lot. <br />Plat No _______ <br />Other Description: <br />Block.Subdivision. <br />I hereby agree that, in case a permit is granted, ill work which shall be done and all materials which shall be used, <br />shall comply with the Gty Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Witer Meter: Fee $ <br />Sewer Hookup: (City) Fee $ <br />Initall Plumbing Systems: Fee $ <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) Fee $ <br />SAC Fee $ <br />State Surtax: Fee $ <br />Total Amount Paid to Gty.......................Fee $ <br />Feel___________ <br />Code: White-File Copy; Canary-Inspector ’s Copy; Pink-Finance Copy; Gdd-Applicant ’s Receipt