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City Permit^®4981 <br />Contractor Li I ELL.C/ <br />Owner I/a tJ kinau'f___________ <br />State License No. . __________________ <br />Address /^ITKA 7^/a /A/ <br />Address / ^0 j/^COUjy\ <br />City License No. <br />GENERAL PERMIT <br />CITY C»^ ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date -/V -77 <br />Parcel No. <br />Section No.Lot Block Subdivision <br />Plat No. <br />Other Dcs'ription: <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:1 cr S <br />Sewer Hookup: (City)Fee $__ <br />Install Plumbing Systems:Fee S <br />Install Sewage Disposal Systems:Fee} <br />Install Water Hookup: iCity)Fee S <br />Install Water Supply Systemi: iWellJ Fwl <br />SAC Fee $ <br />Sl4ie Surtax:Fee 1 <br />Total Amouni Paid to City............... . . F« 1 <br />Cod«. WWte-Fik Copy;Ciiiiafy-In-sp^ur«f'i Cup>. Pfatfi-Fiauiue f'opy: Gukl-AprUcaAt‘s Receipt