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Contractor <br />Address <br />City Permit N? 6446 <br />Owner 6- , 'e. ST t In -,:�n rJ Address FO r< ST <br />State License No. <br />Parcel No, <br />—City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Pay, Minnesota <br />473.7357 <br />Date / c� <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 specific, tions as listed <br />below. <br />Water Meter: Fee S _ <br />Sewer Hookup: (City) Fee $ <br />Isistall Plumbing Systems: Fee S <br />install Sewage Disposal Systems: Fee S _ Signa rc of 49, <br />ran _ <br />Install Water Hookup: (City) Fee S _ <br />Install Water Supply Systems: (Well) Fee S <br />SAC Fee S Z S Oo r Si, vial <br />State Surtax: Fee S <br />Total Amount Paid to City ......... Fee S <br />Code: Whit&File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />