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City Permit N° 6284 <br />Contractor V-JE=. - Address a �s <br />O f�is <br />Owner PA.2k&az3�A"A' Address <br />State License No, <br />Parcel No <br />City License No. <br />GENERAL PERMIT <br />CPI'Y 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 />U �� �► . ��_ a 9.3 a 5 � ��- <br />Wats►r Meter: S- Fee S I — • U40 <br />Sewer Hookup: (City) Fee S 010 , 40 <br />togall Plumbing Systems: Fee S <br />Instal Sevmp Disposal Systems: Fee S <br />Instal Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />SAC <br />State Surtax: <br />Total Amount Paid to City ......... <br />Fee f A 6 . V V <br />Fee S <br />Fee S <br />Fee S o <br />4-0 <br />Si u f appliont <br />Signature of City O tcial <br />Code: Wldte-Fik Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />