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City Permit Na 6506 <br />Contractor L Address <br />Owner Address <br />State License No. City License No. <br />Parcel No <br />Section No. <br />Plat No. _ <br />Other Description: <br />GENERAL PERMIT <br />CPl'Y OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 Date <br />Lot 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 />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />Fee $ <br />Fee S <br />Fee S <br />Fee S <br />Fee S a <br />c <br />Fee S <br />SAC Fee $ <br />5� <br />State Surtax: Fee $ <br />Total Amount Paid to City . ... .... . Fee S <br />Code: WhitrFile Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold-Alit' ppcans 1..,.....r. <br />Sigr:ature of applicant <br />