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City Permit No _ 5709 <br />Contractor_ `�Jl(��h1t.20� Address <br />Owner M I k;F V.r ay.Z Le r Address C MiEix 1EV.1 <br />State Licenst, No. _ City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />• 473-7357 <br />Date <br />Parcel No. <br />Section No. Lot Block Subdivision <br />Plat No. _ I <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 us <br />shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as lis <br />below. <br />Water Meter: <br />pee S <br />Sewer Hookup: (City) <br />pee S <br />Install Plumbing Systems: <br />pee S <br />Install Sewage Disposal systems: <br />GO <br />pce S <br />Install Water Hookup: (City) <br />pee $ <br />Install Water Supply Systems: (Well) <br />pee S <br />SAC <br />pcc $ <br />State Surtax: <br />pee S <br />Total Amount Pail to City ......... <br />Fee S ;> U <br />Signature of app ' ant <br />