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City Permit.io 5205 <br />Contractor �+4LY�7eS[�� Address /LT a IkX % 7- I��c kFe•a.� <br />Owner IPA LE:^,I Address ? 7 C, N <br />State License No. <br />Parcel No <br />Section No. Lot <br />Plat No, <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />GTI'Y OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 <br />Block Subdivision <br />Date 6 — %,1/- 7 23 <br />hereby agree that, in case a permit is granted, all work which shall be dr,ne 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 />t"1 OF S'T74TLr "e C_ X,--Zp./s4) , M a .4 5 'T 9 it .S u d /h 1'T%LSD -7– 2 P <br />Tater Meter: <br />Fee $ <br />Sewer Hookup: (City) <br />I cc S <br />Install Plumbing Systems: <br />rcc S <br />Install Sewage Disposal Systems: <br />Fre S <br />Install Water Hookup: (( ty) <br />Fee S <br />Install Water Supply Systems: (Well) <br />Fce $ Z� <br />SAC Fee S Si nature 4 (1 t ON I <br />State Su'tax Fee S � �� f •—� <br />S� <br />Total Amount Paid to City . ....... Fee S O <br />Code: white -File Copy; Canary inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />