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City Permit N? 5274 <br />Contractor Address <br />Owner Address---, <br />State License No. <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 C A _ <br />Date �1 <br />Parcel No. _ <br />Section No. Lot Block Subdivision <br />Flat 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 />Water Meter: <br />Fee $ <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: (City) <br />Fee $ <br />Install Water Supply Systems: (Well) <br />Fee $ <br />tc gnaturepf 1i nt <br />SAC Fee $ Si at ity Official <br />State Surtax: Fee $ <br />Total Amount Paid to City . ..... .. Fee $ vZ0 =s <br />Code: White•Fde Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />