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City Permit N? 6589 <br />Contractor Aaj7L 61M�e- kAddress <br />Owner �� � Address V_/S' �c:�/ za / LI,/ -1 <br />State License No. City License No. <br />Parcel No, <br />Section No. Lot <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />Cl'i'Y OF ORONO <br />Crystal Bay, Minnesota �f / <br />473-7357 Date <br />Block <br />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 S <br />Sewer Hookup: (City) <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Sig uje of eplican <br />4wx <br />Install Water Hookup: (City) <br />Fee S <br />Install Water Supply Systems (Well) <br />Fee $ _ <br />SAC <br />Fee $ <br />Signs of City Official"--)j" <br />s <br />State Surtax: <br />Fee $ <br />/ <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 />