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CityPermitN? _ 4854 <br />Contractor 5"J/t e-- _ Address <br />Owner tlyt__1'�11 M Z A1 Address f lya&e_ M&_�/1/ <br />State License No. <br />Section No. <br />Parcel No, <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF OR,ONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Lot Block Subdivision <br />Date <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 a- -d <br />below. <br />-�Fs9az75t <br />Water Meter: <br />Fee $ <br />O JI 0 0 <br />X <br />Sewer Hookup: (City) <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee $ <br />Signature of app <br />Install Water Hookup: (City) <br />Fee S <br />' <br />Install Water Supply Systems: (Wen) <br />Fee S <br />SAC <br />Fee S <br />Signature oc city official <br />State Surtax: <br />Fee $ <br />• J�O <br />G,IC�/+aA��, <br />Total Amount Paid to City ......... <br />Fee $ 100 , SD <br />Code: WNte-File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Cold -Applicant's Receipt <br />