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City Permit _ ? 562 <br />Contractor RCA'+�_-L� T,LB Address R, c A hELd <br />Owner:DIc(�_- Mc-2C1Iik Address 8S_5 - (-- r"- E I) ARM-5 -Arit= <br />State License No. <br />Parcel No. <br />Section No. Lot <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 92 7Z75' <br />Block Subdivision <br />1 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 />LC <br />Water Meter: <br />Pee S — <br />Sewer Hookup: (City) <br />o a <br />Fee $ Z t7 . <br />Install Plumbing Systems: <br />Fee S <br />InN all Sewage Disposal Systems: <br />Pee S <br />Install Water Hookup: (City) <br />Pee S <br />Install Water Supply Systems: (Well) <br />Pee S <br />Stgndture�,j t <br />SAC Pee S `/signature of City 0n, / <br />State Surtax: Fcc S . � <br />J U <br />Total Amount Paid to City .. . . ... . Fee S _ ZG <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />