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City Permit 4680 <br />Contractor <br />o2Owner <br />Address <br />Address yfj. <br />State License No.City License No. <br />GENERAL PERMIT ■4t <br />r <br />OTY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 //-^ -7^ <br />Parcel No. <br />Section No.Lot Block Subdivision <br />Plat No. <br />Other Description: <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 />'iVifer Meter:l-eeS <br />Sewer Hookup: (City)I ce $o2o. oo <br />InsUU Piuinbiag Sy stsnuii I'ce $ <br />Instal Scwtpe Diipoui Systeim;Fee$ <br />Install Wafer Hookup: (( Hy)Fees <br />liittaU WsUt Supply Systeim: (Welt)1 ee S <br />SAC leeS <br />8Ut« Suftam:Fees . 6o <br />Total Amoiifit Paid to City................. . . Fm t ifb <br />* ' • V <br />Osfe: WWt&^I Us Copy; CiiarHii^wctof'i Copy. Pmi I tnancs Copy ; Grtld.An>licant*i Rerripi