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City Permit N8 6159 <br />Contractor `�� G `— �"� Address <br />Owner �`a `'x'— Address <br />State License No. _ _ City License No. <br />Parcel No. <br />Section No. <br />Plat No. _ <br />Other Description: <br />GENERAL PERMIT <br />cnY of GRONO <br />Crystal Bay, Minnesota <br />473-7357 /�_ �� 7 <br />Hate <br />Lot Block Subdivision <br />I hereby agree that, in case a permit is granted, all work which shall be done and all mater:..ls which shall be used, <br />shall comply with the City Code of Orono applicable ther::to, and shall include all additional specifications as listed <br />below. <br />Water Meter: Fee $ <br />Sewer Hookup: (City) Fee $ <br />Install Plumbing Systems: Fee $ <br />Install Sewage Disposal Systems: Fc: $ ign re of applicant J, <br />Install Water Hookup: (City) Fee S <br />Install Water Supply Systems: (Well) Fee S <br />SAC Fee $ Signal U ;C) Of :ial / <br />State Surtax: Fee S / � �� / t <br />rotal Amount Paid to City . .. . . .... Fee S 5—'o <br />Code: White -File Copy; ('&nary -inspector's Copy; Pink-Fioance Copy; Gold -Applicants Receipt <br />