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City Permit N? 6357 <br />Codtractor <br />/� Address <br />- <br />Owne <br />`� <br />Address <br />79 <br />Fd1rill e, t1 <br />41,,-IC. <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 — <br />Lot Wock 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 />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee $ <br />Signature of i► <br />Install Water Hookup: (City) <br />Fee $ <br />Install Water Supply Systems: (Well) <br />Fee $ <br />/ <br />SAC <br />Fee $ <br />Signatyrq of City OfPrcis <br />S? <br />'r <br />State Surtax: <br />Fee S <br />Total Amount Paid to City ......... <br />Fee S <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />