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City Permit N8 6371 <br />Contractor Ae�16ddressOwner OJ 4 Address 1161eli <br />i <br />State License No. <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473•7357 <br />Parcel No. <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />Date / —J / 11 1_ <br />I hereby agree that, in case a permit is granted, all work which shal! 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 />SAC <br />ee $ <br />Fee $ <br />Fee $ <br />Fee S <br />Fee $ <br />Fee S• �O <br />Fee $ <br />State Surtax: Fee S <br />Total Amount Paid to City . .. . .... . Fee S,�� <br />St icant <br />Signatu City Official <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />