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City Permit N?1645 <br />Contractor..Address. <br />Ownpr <br />State License No.. <br />AHHre« <br />City License No.. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />A12-12S1 Date. <br />Parcel No--------- <br />Section No------------------Lot. <br />Plat No_______ <br />Other Description: <br />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 />Water Meter: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee $ <br />Install Water Supply Systems: (Well)Fees JO.DO <br />SAC FccS <br />State Surtax:Fees •S'o <br />Total Amount Paid to City ............... <br />Signature of applicant A__d/ <br />V <br />Code: White-File Copy; Canary-Inspector’s Copy; Pink-Finance Copy; Gold-Applicant’s Receipt