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, <br /> ... -+�tlS{,a'�.:.:+ir:awiw:.«iw.w`+wa,��'X.+►wk,K.u«.We,.4.a..r,. ..��a....,..__.t.......-._..,..............�.c:w.._.»�1tiV,.s2`�` '�I'R' � ` <br /> 40'..'t 4 <br /> �T <br /> Aid.. City Permit N0 4657 <br /> t <br /> � ContractorZ tilt r�- <br /> P (E? Address /. � /1 l(iA"-/ <br /> 4' <br /> uk i Owner_ ,61,...Qi�_ Address /f /1/4 GC/i/ ,-../ <br /> City License No. License No. - <br /> vvrn <br /> , GENERAL PERMIT <br /> �r;" <br /> CITY OF ORONO <br /> ! Crystal Bay,Minnesota <br /> 4 473-7357 Date ie- Xg- 7( <br /> Parcel No. <br /> - �`} Section No. Lot Block _Subdivision <br /> Plat No. <br /> l <br /> Other Description: <br /> r,. <br /> ter. <br /> ,: I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be :, <br /> : ed, <br /> shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br /> ',''r-,- below. 6_,_, D <br /> 7 0 CA---1 - -e-iec-eC— ,-4.-7- e-e-a---‘;'--/c_ ....e__,‘Y, <br /> '' Water Meter: Fee$ <br /> Sewer Hookup:(City) Fee$ <br /> k,.. <br /> Instill Plumbing Systems: Fee$ <br /> m Install Sewage Disposal Systems: Fee S 020/ CE' Si nature of applicant <br /> ;•; Install Water Hookup:(City) Fee S �i' 4ii/' `eJe-Gd(W) <br /> Install Water Supply Systems:(Well) 1 ee$ <br /> SAC Fee$ Signature of City Official /�pr//, <br /> ' 7 C �� <br /> State Surtax: Fee$ <br /> r `_ - .Total Amount Paid to City Fee S e2B •�C <br /> , Frvr, :Code:Wbite File Copy;Canary-Inspector's Copy;Pink-Finance Copy;Gold-Applicant's Receipt <br />