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City Permit NO 6469 <br />Contractor <br />W Qy _ Address <br />�.,,�a—� � - <br />Owner .oAijt� c.. J7` Address / a 9 S <br />State License License No. <br />Parcel No. <br />City License No, <br />GENERAL PERMIT <br />CPI'Y OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 QQ `` <br />Date—.1� � % <br />Section No. Lot Block <br />Plat No. <br />Other Descripti-3n: <br />Subdivision <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 comely 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 />Sewn Hookup: (City) <br />Fee S <br />Install PlumbinS Systems: <br />Fee $ <br />Inoeall Sewap Disposal Systems: <br />Fee S <br />plicant <br />Si 4,17VL� <br />� <br />InstallWater Hookup: (City) <br />Fee S <br />Install Water Supply Systems: (Well) <br />Fee $ <br />SAC <br />FK S <br />Signat a of City O c:al <br />State Surtax: <br />Fee S <br />v �� U <br />Total Amount Paid to City Fee S --��-�-� <br />Code: WItite-File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />