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City Permit Na 5748 <br />Contractor SNLLL►✓AN Address_ �1T% <br />Owner!�O,s=w4AM71Z Address ? aC) T-'*-*),e' L_4sV'9_ <br />State License No. <br />Parcel No. <br />City License No. <br />GENERAL PERMIT <br />CUY OF ORONO <br />Crystal Bay, Minnesota <br />473 7357 <br />Date <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 />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: (City) <br />Fee S <br />Install Water Supply Systems: (Well) Fee $ <br />of applica ' <br />i <br />SAC Fee S _ ._ Sity Official <br />Sb <br />State Surtax: Fee S/44 <br />_ <br />S"C <br />Total Amount Paid to City . .. . ..... Fee $ <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />