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City Permit N? 6288 <br />Contractor ���/�S I�VL/� /�/; Address I I I L:2 <br />Owner L'se— Addre-, 35o ���5�✓i i <br />State License No. <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 �� j� / /9fj <br />Date �, /( <br />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, anO shall include all additional specifications as listed <br />below. <br />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee $ applicant <br />Install Water Hookup: (City) <br />Si:g�nneuof <br />Fee S 'lei1 0-�q, <br />Install Water Supply Systems: (Well) <br />Aitz- <br />Fee $ •�?L). OD <br />SAC <br />Fee $ Signature of City Official <br />State Surtax: <br />Fee f r(% o �! <br />Total Amount Paid to City .... ..... <br />Fee f <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />