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City Permit IN? 6119 <br />Contractor Address <br />Owner L <br />Address <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 <br />473-7357 9�3 (0 <br />Date d' <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 lis:ed <br />below. <br />, .,e <br />i V 6, --- -- <br />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: (City) <br />Fee $ <br />Install Water Supply Systems: (Well) <br />Fee S �. <br />SAC <br />Fee S <br />State Surtax: <br />Fee $ <br />Si i't 'I Apli.:ant <br />Signs (City Official <br />total Amount Paid to City ......... Fee S rT O, S'C <br />Code: White -Fib Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />