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City Permit NO 6445 <br />Contractor L� � Address <br />y <br />Owner Address y <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 J <br />47 ')-735 7 <br />Date <br />Block. Subdivision <br />I hereby egree 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 Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />Fee $ <br />Fee$ 4z•`� <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee S <br />SAC Fee $ <br />State Surtax: Fee S <br />Total Amount Paid to City ......... Fee S <br />Siga&040 of City official / <br />Code: WMte-File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />