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City Permit N? 6301 <br />Contractor Klr0-- V \,0A S Address ST C'vnG �AIZk <br />Owner tyM I S S,, (,LWA Address_ 31 ZLI CASLC-) C%F-Cl� <br />State License No. City License No. <br />Section No. <br />Parcel No. <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />CH Y OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 -4 ` ((o <br />Date �D <br />Lot Block Subdivision <br />I hereby agree that, in case a permit is granted, all work which shall Ue 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 Huokt. (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems <br />Install Water Hookup: (City) <br />Install Water Supply Systems (WO) <br />SA( <br />State Surtax: <br />I'Aal Amount Paid to City <br />Fee S <br />Fee $ <br />Fee S <br />Fee S _ Sillut� of appb9st , <br />Fee S <br />Fee S <br />Fee S <br />Fee S 0 s <br />Fee S 4ka SD <br />Signature o}.City Official <br />Cute White Vile t opy, Cmary-Inapector's Copy: Mak-Finance Copy: Gald-Applicmt'a Rwxrapt <br />