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City Permit-Na 5389 <br />Contractor -e w Address,(7�.i <br />Owner 4-6—`]2AL_D Address ����9c, <br />State. License No. �Q � � S City License No. <br />Parcel No. <br />Section No. <br />Plat No. _ <br />Other Description: <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date /o -30-78 <br />Lot 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 Cod- of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />SU'st- I -r- l.-V/y &F c L" ts1-c- rer"T__, _iy C 11 1� <br />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: (City) <br />Fee S <br />Install Water Supply Systems: (Well) <br />H <br />Fee $ <br />Signature of applicpnt <br />/__LL 42��ZCG1� <br />SAC Fee $ Si t rC,of tt fici• <br />�-� - - <br />State Surtax: Fee $ � <br />S <br />Total Amount 1• tid to City . ... ..... Fee S _ <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />