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City PermitN? 5188 <br />Contractor L�-� �'�- Ali <br />�0 � 1 Q Address �3 o <br />a <br />ervs T— K �1/', <br />ry <br />Owner w D €!V <br />Address Z�j <br />Z� <br />��4ftVlE'UV <br />State License No. <br />Parcel No. <br />City License No. <br />GENERAL PERMIT <br />LTl'Y OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Descriptien: <br />Date 6,-?-7A <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: Fee S <br />Sewer Hookup: (City) Fee S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee S <br />install Water Hookup: (City) Fee S <br />ao�. <br />Install Water Supply Systems: (Well) Fee S a�0 —�� <br />L�i , , F-7 <br />SAC Fee $ Signature of City Wicia <br />State Surtax: Fee S <br />.CU <br />Total Amount Paid to City ......... Fee $ <br />Code: White -File Copy; Canary -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />