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City Permit Na 6358 <br />Contractor wt�sT <br />y"'J A FL- RAT <br />Address <br />Owner JAme r. <br />Address_ <br />State License No. <br />Parcel No. <br />Section No. <br />Plat No. _ <br />Other Description: <br />-City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 (' Z (a <br />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 />Fee $ <br />Sewer Hookup: (City) <br />00 <br />Fee $ 20 <br />Install Plumbing Svitems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />Fee S _ <br />Install Water Hookup: (City) <br />Fee $ _ <br />Install Water Supply Systems: (Well) <br />Fee S <br />SAC <br />Fee S <br />so <br />State Surtax: <br />Fee S <br />SignatureE* ( %� <br />Signature of City 0 icial <br />CD <br />S� <br />Total Amount Paid to City ... . . . Fee S <br />Code: White -File Copy: Canary -Inspector's Copy; Pink -Finance Copy, Gold -Applicant's Receipt <br />