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City Permit N? 6155 <br />ContractorWjADdFP_ —hMtkQ_)� '<, Address <br />Owner T_ F_ZZ �� hr� c _ Address Q(2�1 % rfl y��T <br />State License No: <br />Parcel No <br />—City License No._ <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date <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 theicto, and shall include all additional specifications as listed <br />below. <br />Water Meter: <br />Fee S _ <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />krtQ. Fee $ <br />Install Water Hookup: (City) <br />Fee S <br />Install Water Supply Systems: (Well) Fee S <br />SAC <br />State Surtax: <br />Fee $ <br />Fee S <br />Sig�urcµ>(app�ant '/� <br />rotal Amount Paid to City .. . . . . . Fee S fin, 5 U <br />Code: White-Ffle Copy; Canary -Inspector's Copy: Pink -Finance Copy; Gold -Applicant's Receipt <br />