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!»' <br />!-â–  <br />t <br />J.- <br />e <br />\ <br />City Permit 6170 <br />Contractor <br />Owner <br />dress_____Address. <br />Address. <br />State License No. <br />^HOo <br />City License No.____ <br />GENERAL PERMIT <br />cm OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 Dat« -^/-^n <br />Parcel No______ <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 aU additional specifications as listed <br />below. <br />/ <br />Water Meter: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />SAC <br />State Surtax: <br />Fees <br />Fees <br />Fees <br />Fee S .^/O. /^L/) <br />Fee S___________ <br />Fees___________ <br />Fee S ___________ <br />Fees <br />Signature of ajvpli^tft <br />Total Amount Paid to aty....................Fee S <br />Code: White-File Copy; Canary-Inspector's Copy; Pink-Finance Copy; Gold-Applicant’s Receipt <br />Signature Q^y Official /) /O / j <br />/ / 7^