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City Permit N •e <br />575 <br />Contractor (,A.) l R. rt.,e Address SPtiNc, &--it <br />Owner WA#JDA 2Ca4F/4FE&& Address_ZVeO L7w A1&*J00Z1Y <br />State License No. <br />Parcel No. <br />Section No. <br />Plat No. _ <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 Date /4 - 3 - 79 — <br />Lot 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 Uty Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Muter Meter: <br />Sao ar Hookup: (C:ty) <br />install Plumbing Systems: <br />lastal SawW Disposal Systems: <br />Instal Muter Hookup: (City) <br />Fee f <br />Fee f <br />Fee f <br />Fee f <br />Fee f <br />Install Water Supply Systems: (well) Fee f <br />sap <br />SAC Fee f <br />State Surtax: -se f <br />L' CPO <br />Total Amount Paid to City ......... Fee f <br />signature of cep nt i00e� <br />c <br />Code: Wldt►Faa Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />