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City Permit N? 6479 <br />Contractor �' ': Address L*Pl LeA <br />Owner �I/11 �E�'T� Address 50 DClp25� <br />State License No <br />Parcel No, <br />City License No. <br />GENERAL PERMIT <br />CPl'Y OF ORANO <br />Crystal Bay, Minnesota q <br />473-7357 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: Fee S <br />Sewer Hookup: (City) Fee S <br />Install Mumbing Systems: Fee S <br />Instal Sewage Disposal Systems: Fee S Signature of applicant <br />Instal Water Hookup: (City) Fee S <br />Into Water supply Systems: (Well) Fee S <br />SAC Fee S Si ature grps%Off W / <br />state surtax: Fee S <br />SO <br />Total Amount hid to City ......... Fee S <br />Cob: Whit&Fla Copy; Canary-6mpector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />