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City Permit IN? 5710 <br />` Contractor W �W�-e� )C ��� Address L_,�>�? � t A_PA fz— <br />i 1 <br />t Owner CAI J f Address -5 a!q <br />State License No. City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />Crystal Bay, Minnesota <br />473-7357 <br />Date— C? -. <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 />stall comply with the City Code of Orono applicable thereto, and shall include all additional specification: as listed <br />below. <br />Water Meter: Fee S <br />Sewer Hookup: (City) Fee f <br />Install Plumbing Systems: Fee f — <br />G� <br />Install Sewage Disposal Systems: <br />Fee $ <br />!!Ih� U_ <br />Sign tou of as liclican`t <br />Install Water Hookup: (City) <br />Fee f <br />h stall Water Supply Systems: (Well) <br />Fec f <br />_ <br />SAC <br />Pee f <br />Signature of C' al <br />State Surtax: <br />Fee f <br />U <br />Total Amount Paid to City . ... ... <br />. Fee $ <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />