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City Permit N •O <br />. 5'75 <br />Contractor_ w 17>M 6:i2 g dos Address sP�L/rG- 2!? <br />Owner oNt]sl Sc M MA-p,=-�c� Address 2 q6 Q TLi w o iNn �1 <br />State License No. <br />Parcel No. <br />City License No. <br />GENERAL PERMIT <br />GTrY OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 <br />Section No. _ Lot Block Subdivision <br />Plat No. <br />Other Description: <br />Date l0 - 3 — 729 <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 />SAc- :b Peg-^ % -r 11E s7 0 <br />t 2�n 22�?/ /o - 3- t79 <br />Qcl-o-�V 7 Z 3 Z 7S <br />o <br />Water Meter: Fee S �Q -o <br />1 T� <br />Sawer Hookup: (City) Fee S _ ) 0 <br />Ieatall Musnbi% 3ysi m: <br />Fee S <br />hstaa Sawya Disposal Systems: <br />Fee S <br />Ia all Water Hookup: (City) <br />•O <br />Fee S <br />hem Water Supply System: (We0) <br />Fee S <br />SAC <br />Fee S <br />State surtax: <br />Fee S <br />Total Amount hid to City ......... Fee S 100 3b <br />/I ro o 4p t .� <br />Signature of City official <br />Cede: Wkit.Faa Copy; Cssaary-laspector's Copy; Mat -Finance Copy; Gold -Applicant's Receipt <br />