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City Permit N? 5750 <br />Contractor S u J-L- I VA-,A1 Address <br />Owner 1?-ajygls ,A Me- L m N Address '7 C— N • �Eiey D,�t� leD <br />State License No. <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 <br />Date <br />Block Subdivision <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 />e-� <br />P.rN & -" <br />Water Meter Fee $ <br />Sawa Hookup: (City) Fee S <br />Install Plumbing Systems: Fee $ <br />Install Sewye Disposal Systems. Fee $ nature f applic <br />Install Water Hookup: (City) Fee S <br />10e1011 Wolof Supply Systems: (Well) Fee $ <br />SAC Feu f Signature of.Qity iicial <br />• Xll rL, //z <br />Fee f <br />I „gal Amount Paid to Cit) Fee f _ <br />('odeWhile-File Copy; ('ARMY -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />