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City Permit N° 6533 <br />Contractor <br />—_ � i rye- W Gl— I1r1 1 Address r T)A Q <br />Owner I ► wl ! 1, LONNO 2 Address <br />State License No. <br />Parcel No. <br />City License No. <br />GENERAL PERMIT <br />CITY OF OftONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Descripiion: <br />Date 11-4 — <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 i.I additional specifications as listed <br />below. <br />sra ,z-T E D w /o PC rz 1 t- <br />"A8L 'FEE :2D- ac <br />Water Meter: Fee $ <br />Sewer Hookup: (City) Fee S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee $ Signatur plicant <br />Install Water Hookup: (City) Fee S x <br />Install Water Supply Systems: (Well) Fee $ <br />SAC Fee S '.5jAnilLyne o. "ty officia / <br />State Surtax: Fee $ 'r0 <br />Total Amount Paid to City . .. . ... .. Fee $ 4'o • S O <br />Code: White -File Copy; Canary -Inspector': C,,.-v: Pink -Finance Copy; Gold -Applicant's Receipt <br />