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/ <br />City Permit^®5171 <br />Contractor <br />Owner___i Address <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 <br />Date <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 listed <br />below. <br />Water Meter:Fee $ <br />S«w«r Hookup: (City)Fee $ <br />Install Plumbing Systems:Fees <br />tiistali Sewafc Disposa) Syttemt:Fees <br />Install Water Hookup: (City)Fees <br />tnstalj Water Supply Systems: (Well)Fees <br />SAC Fee S <br />SUle Surtax:Fees <br />Total Amount Paid to City................. <br />-^itg iwHire n#appticant > f <br />— >o <br />hm S <br />Co4t: White Copy.Canary Inspector*! Copy, ftnk Fiaance Copy; Cuia Applkaot's Receipi