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City Permit N° 6552 <br />Contractor .�Aae. YJ ' ��' �`'�'�r .1,✓iC- Address 52-0 AAf-,#A <br />Owner 117A.N Af Address _1 Z 3y !%c �c�so-✓ fd/�y <br />State License No. - znk-_5 _ City License No. `7S-i <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 // //'' ' / <br />Date 'Vat) <br />Block Subdivision <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 />G T , Alt .�..zZ �.vy►_ <br />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee S U UL% <br />Install Plumbing Systems: <br />Fee $ <br />Instatl Sewage Disposal Systems: <br />Fee $ Sig �fap t� <br />Install Wate• Hookup: (City) <br />Fee $ CL.' <br />Install Wat.:r Supply Systems: (Well) <br />Fee S <br />SAC <br />Fee $ S. W Signature of City Official <br />State Surtax: <br />Fee $ �0'►►_ �l �_ <br />Total Amowit Paid to City ......... <br />Fee $ 1 5 50 <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />