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City Permit N? 5604 <br />Contractor Address Alw 40 <br />kA <br />Owner 6[.AE?1 _9rKYT3E Address 282C> ?Ep"AELA2 <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 Date �o 7 / — / /A— 2-n <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 />No wn Qs- oAj L1J 6l L m-t+ xr � tAN?' / L B N /L-njA1 C, 114mrw 1 r <br />l S N I/S�SE'p , <br />C...—b p y <br />Water Meter: Fee $ <br />Sewer Hookup: (City) Fee $ <br />Install Plumbing Systems: Fee $ <br />Install Sewage Disposal Systems: Fee $ S nat e an6rit <br />Install Water Hookup: (City) Fee $ <br />Io <br />Install Water Supply Systems: (Well) Fee $ 240 <br />SAC Fee $ _Signstur�of City Official <br />s <br />State Surtax: Fee $ <br />Total Amount Paid to City ......... Fee $ 2. <br />Code: White -Fib Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />