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City hrrnitN' 5081 <br />Contractor 22: L2,�'LN 1�i-� Address <br />Owner �i4'I'�r'X_�LG'Address_��' <br />State License No. <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota Gr <br />473-7357 Date ,,r —J3 M 7a <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 />O. t� <br />Water Meter: Fee S <br />Sewer Hookup: (City) <br />Install Plumbing Symms: <br />Install Sewage Disposal Symms: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (well) <br />Fee $ <br />Fee S <br />Fee $ <br />Fee S <br />Fee S <br />Signal,WXA applicant <br />. 6�_ Z� <br />SAC Fee S Si a of City Official <br />State Surtax: Fee S <br />Total Amount hid to City ......... Fee S <br />62 0- CJp <br />Code: WYte-File Copy; Cawy-Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />