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City Permit N? 6 515 <br />Contractor 'W C—AU 0A ti Sou 5 Address _L-ri�.t✓G lA A-C 99 <br />Owner jSt UL V7o )4 Address/119.5— (A) �ER_ND4 Lc <br />State License No, <br />Parcel No. <br />City License No, <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-735'i d <br />Date <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />1 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: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />Fee E <br />Fee S 'Zo G O <br />Fee $ _ <br />Fee $ <br />Fee f <br />Fee $ <br />SAC I ee S <br />State Surtax: Fee $ $�O <br />Total Amount Paid to City ......... Fee t <br />Sigrtatux of app .•t� <br />Signal ure 01City O isI <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />