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City Permit No 6547 <br />(/mil G/'I7 %� <br />Contractor e/-%f%�-L,/ � Address_ <br />Owner ll�/� T / / (� TC.� 1�l / _ Address �/� !J / lit iC�>ST / z ��C <br />le, <br />State License No. <br />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 11—ld _�/ <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 />Water Meter: <br />Fee $ <br />Sewer Hookup: (City) <br />Fee S 'Z a o <br />Install Plumbing Systems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Fee $ <br />Fee $ <br />Signature pf applicanj <br />y <br />Install Water Supply Systems: (Well) <br />Fee S <br />SAC <br />State Surtax: <br />Fee $ <br />Fee $ SD <br />Sig Cit Ofl'i ' 1 ' <br />Total Amount Paid to City ......... <br />Fee $U <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold-Appticant's Receipt <br />