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City PermitN? 4947 <br />Contractor4?1yt� Address <br />Owner Address 308"3 <br />State License No. City License No. /OZ ((r' <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />CI' ' OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date / <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 />Water Meter: <br />Fee $ <br />Sewer Hookup: (City) <br />Fee S <br />Install Plumbing Systems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />Fee $ S' to cant <br />Install Water Hookup: (City) <br />Fee $ <br />Install Water Supply Systems: (Well) <br />Fee S_ <br />SAC <br />Fee S Signature of City official <br />State Surtax: <br />Fee $ <br />Total Amount Paid to City ....... <br />'^e S .;2B S <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />