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r I' <br />City Permit ®460ii 1 <br />Contractor <br />Owner <br />Address <br />Address <br />State License No.City License No. <br />GENERAL PERMIT 1 <br />OTY OF OKONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date <br />Parcel No.« <br />Section No.Lot Block Subdivision <br />Plat No. <br />Other Description: <br />**« <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:Fees <br />Sewer Hookup: (City)Fee S <br />Iiiktall Plumbing Systems: <br />Install Sewage Disposal Systems:Fee S _ <br />Install Water Hookup* (City)Fee S OO <br />Indall Water Supply Sysiemi: (Well)Feel <br />SAC Fees <br />State Surtax:Fee S // ' <br />Total Amoort Paid to City................. . Fee S <br />Ci>d«: White>Fib CopyiCinary-inspectorH Copy; Pink-riniince Copy; Cold-Applicant*! Receipt