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City Permit N? 5804 <br />Contractor&L1,1tA14_ / 1111, 61 1f �erw/• Address .S <br />Owner Address L2yp_ <br />State License No. <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Parcel No. <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />Date ,zf —f ,�— 7!� <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 fisted <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 />SAC <br />State Surtax: <br />Fee S <br />Fee $ <br />Fee $ <br />Fee $ L72- g cure of applican <br />Fee S <br />Fee $ <br />Fee $ <br />Fee S . -7t) <br />Signet re of City Officia� <br />Total Amount Paid to City . ....... . Fee S • Sp <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold-Appticant's Receipt <br />