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City Permit Ne 6389 <br />Contractor % Address _ <br />Owner_ Q Address <br />State License No. <br />Parcel N- <br />Section No. Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GEN11"RAL PERMIT <br />CP!'Y OF ORONO <br />Crystal Bay, Minnesota r� <br />473-7357 7� )C�' <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 />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 S <br />Fee $ <br />Fee S <br />Fee $ <br />Fee S <br />Fee $ <br />i SAC Fee $ Q <br />State Surtax: Fee $ _-_t_� <br />Total Amount Paid to City . .. . . ... . Fee S 41 1S_1 L <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />