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City Permit N8 <br />Contractor �rA_>rN-.4,A-4- I SVdress <br />Owner�Address <br />State License No. <br />Parcel No. <br />Section No. — Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMI , <br />CNY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Block Subdivision <br />C <br />Date 2-1 _ <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 Plu. ibing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />SAC <br />Fee S <br />Fce $ <br />Fee $ <br />S►� C_ <br />Si of )cant <br />Sinn *Cit_y Official / <br />— �. t `/ <br />), ",ir /", , - ) I <br />State Surtax: Fee $ �7 <br />Fee S _ <br />Fee $ <br />Fee $ <br />Fee S AA J <br />Total Amount Paid to City . .. . .. .. . Fee $ _qQ,s no <br />Code: White -File C'cpy: Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />