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City Permit Na 6382 <br />Contractor % L N it'►MB/NC_ �� V?CES �fc—Address <br />Owner Hori1£' S' Address .L r-_&ce4q ,Z) eiVE <br />State License No. <br />Parcel No, <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 � <br />Date <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 />Water Meter: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />Fee $ <br />Fee $ <br />Fee S <br />O [7 <br />Fee $_ <br />Fee $ <br />Fee S <br />Signature of applicant <br />SAC Fee S Signature ity fficial <br />SM <br />State Surtax: Fee S <br />SO <br />Total Amount Paid to City . .. . . ... . Fee S <br />Code: White-FUe Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />