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City Permit Na 5458 <br />Contractor W ESTa/-'KA p� BCr Address�5 <br />� <br />Owner /V,/ Address 1 y g e'3� /^i4 .�7pN ESs <br />State License No. <br />Parcel No. <br />Section No. Le t <br />Plat No. _ <br />Other Description. <br />City License No. <br />GENERAL PERMIT <br />CPl'Y OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date <br />Blo-k Subdivision <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which s►!all be used, <br />Shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications is licted <br />below. <br />:IL 270 2ZA <br />Water Meter: Fee S <br />Sown Hookup: (City) Fee S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee S / nat of a licant�'� <br />Install Water Hookup: (City) Fee $ <br />InNA Water Supply Systems: (Well) Fee $ <br />SAC Fee $ Signature of City Official <br />Stab Surtax: Fee $ 110 <br />00 <br />Total Amount Paid to City . .. . ... . . Fee $ 17 0 _ <br />Lode: White -File Copy; Caney -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />