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r <br />Contractor. <br />Owner___ <br />, Address <br />. Address <br />City Permit ^?5321 <br />State License No.. <br />GENERAL PERMIT <br />CITY OF ORONO <br />City License ^o.m <br />Crystal Bay, Minnesota <br />473-7357 t>,i. 9- <br />Parcel No.. <br />Section No.. <br />3^. <br />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 all additional specifications as listed <br />below. <br />Water Meter:Feel <br />Sewer Hookup: (City)Fees <br />ImtiU Plumbing Systems:Fees <br />Install Sewage Disposal Systems:Fees Signature of applicant ^ ^ <br />Install Water Hookup: (City)Fees <br />Install Water Supply Systems: (Well)Fees m <br />SAC <br />State SurUx: <br />Fees <br />/r*-^ • j — <br />Signature of City Official>^^^^^^ <br />l ee 9 0 <br />Fees Y/Total Amount Paid tj Gty................... <br />Code: While>Flle Copy;Caaity-Inspectot*s Copy; Pink-Finence Copy; Gold-AppUcant ’i Receipt