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City Permit 6011 <br />Contractor_____ <br />Owner \)e,^J^ <br />Address _ <br />Ad dress /CAf^Ca u. <br />State License No.City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 Date IG <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 />i\ /O Cs> <br />Water Meter:Fees <br />Sewer Hookup: (City)Fees <br />Install Plumbing Sys ns:Fee S <br />Install Sewage Disposal Systems:Fees <br />Install Water Hookup: (City)Fee S <br />Install Water Supply Systems: (Well)Fees <br />SAC Fees <br />State Surtax:Fee $ <br />Total Amount Paid to City .................Fee S ^ ^ <br />Code: White-File Copy;Canaiy Inspeclor*s Copy; Pink-Finance Copy;Guld-Applkant’i Receipt