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City P <br />Contractor. `' ly <br />Z I / / ) �hy�A-1" � J AU Address <br />Owners1 Ad, ress 3 a 7,!�_ Y -)k 1z I,e. w <br />State License No. Citv License No. <br />GENERAL 'ERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 a 6 _ % 7 <br />Date <br />Parcel No. <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 />I <br />Water Meter: <br />Fee S <br />. Sewer Hookup: (City) <br />r <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee $ <br />cant <br />Install Water Hookup: (City) <br />Fee $ <br />Install Water Supply Systems: (Well) <br />Fee S <br />`?D• n n <br />SAC <br />Fee $ <br />Signat e of Of Icial <br />State Surtax. <br />Fee S <br />_ <br />Q i 4 4,v. <br />i� O <br />Total Amount Paid to City ......... <br />Fee $ <br />0 b O <br />Code: White -File Copy; Canary -Inspector's Copy; Pink <br />-Finance Copy; Gold -Applicant's Receipt <br />