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City Permit N? 6014 <br />Contractor lylze, ./hc-L _ Address <br />lel <br />Owner Address <br />State License No. <br />City License No. <br />GENERAL PERMIT <br />GTI'Y OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date <br />Parcel No. <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <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 />_-- <br />Water Meter: Fee $ <br />Sewer Hookup: (City) Fee S 2?22 , 00 <br />Install Plumbing Systems: Fee $ <br />Install Sewage Disposal Systems: Fee S Signature ofdoplic. <br />Install Water Hookup: (City) Fee $ �' <br />Install Water Supply Systems: (Well) Fee S <br />SAC Fee $ S' r of City Official <br />State Surtax: Fee $ s<J <br />Total Amount Paid to City ......... Fee $ JS Sy <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />