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City Permit _N? 6 518 <br />Contractor Address ,� <br />^,�c�"'' <br />Owner � O (2t�e) nJ & LA �-2�Z� e Address O S'T <br />State License No. <br />Parcel No. _ <br />Section No. <br />Plat No. _ <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota y� 473-7357 Date LO —Z` GJ / <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 Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />A'DT> D l���/4��-Lr> <br />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />a+U <br />Fee $ <br />Install Water Hookup: (City) <br />Fee S <br />Install Water Supply Systems: (Well) <br />Fee $ <br />SAC <br />Fee $ <br />1� <br />State Surtax: <br />Fee S <br />Total Amount Paid to City <br />Srn <br />... Fee S,�te_ <br />Signatur o(applic t ~� <br />jo., <br />Signat ny ^ cial <br />Code: White -File Copy; Canary -Inspector's Copy: Pink -Finance Copy; Gold -Applicant's Receipt <br />