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City Permit 5222 <br />Tnntractor ^Igftg <br />n»n«r T)^U/L- ________ <br />State License No._______ <br />Address <br />4^70 t^AUL. Rb. <br />City License No.. <br />4 <br />GENERAL PERMIT <br />cm OT ORONO <br />Crystal Bay, Minnesota <br />473-7357 nat«» C *2^*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 />Shan comply with the Qty Code of Orono applicable thereto, and shaU include all additional specifications as listed <br />below. <br />'v- <br />Water Meter;Feet <br />Sewef Hookup: (City)Fees <br />Initall Plumbinf Syttems:Fees <br />butaD SewifB DiqMeel Syitems;Fees <br />laitaB Water Hoolnqi: (City)Fees <br />luitaD Water Siqiply Systeim: (WMl)Fees <br />SAC Fees <br />State Surtax:Fees <br />Total Amount Paid to CHy............... . Fees <br />itUIBOf <br />.♦ ^ ' <br />A' <br />2/!> <br />’^frirp <br />Code: White-File Copy; Caaary-Inipector’t Copy: Plnk-Finence Copy; Gold-Applicaiit*i Receipt