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City Permit No _ 5563 <br />Contractor Qoy/yEl_ 4- SoNS' Address 6 -Scyn IA/Dcta'tr_-/ A6ms-Ao%,b'1z,I <br />Owner 2i4 V 1 z> /U r T 2L Address 3 0Se% F�t-✓ / <br />State License No. _...� City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Parcel No. <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />Date "Z / — 717 <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 />5EAMMUNW-Z P1110 <br />Water Meter: <br />Fee $ <br />Sewer Hookup: (City) <br />Fee 5 <br />Install Plumbing Systems: <br />Fee S <br />Instal Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: (City) <br />Fee S <br />�o <br />Install Water Supply Systems: (Well) <br />Fee S <br />SAC Fee S Si"ure ofWy OLficial <br />State Surtax: Fee S <br />Total Amount Paid to City ......... Fee $ <br />Code: W1dte-File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />