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City Permit N? 5556 <br />Contractor �! �( -Address �iCeC_ <br />Owner_�i�/i r�..�� Address c;;�447— <br />State License No. <br />Parcel No. <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 / <br />Date ,7 <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 />IF V i&Z <br />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Signature of applicant <br />Install Water Hookup: (City) <br />Fee S <br />Install Water Supply Systems: (Well) <br />Fee S <br />SAC <br />Fee S <br />Sig • e City Official <br />State Surtax: <br />Fee S <br />Total Amount Paid to City . .. . . .... <br />Fee $ 1;Y <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />