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<br /> City Permit �o _ 5991 �
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<br /> Contractor�, -`� Address�i�KJ/V S
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<br /> Owner o�+�'S"�'"a�} Address /��� S . �it�lLLpw ��V�
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<br /> � State License No. City License No.
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<br /> ; GEN�R�L P�RMIT
<br /> � C7T'Y OF ORO�I�
<br /> i. Crystal Bay, Minnesota
<br /> � 473-7357 �— c
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<br /> �j Parcel No. i� �.�'��
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<br /> � Section No. Lot Block Subdivisio:t_
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<br /> � Plat No. .
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<br /> � Other Description:
<br /> I hereby agree that, in case a pe:rmit is granted, all work which shall be done �:�d all materials which shall be used,
<br /> si�all comply with the City Code of Orono applicabie thereto, and shall include all additional specifications as listed
<br /> below.
<br /> Water Meter: Fee S
<br /> Sewer Hookup:(City) Fee 5
<br /> Install Plumbing Systems: � Fee S
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<br /> Instell Sewage Disposal Systems: Fee S �� Signature o;�pplicani.
<br /> Inatall Water Hcokup:(City) Fee S L_��'��g��1
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<br /> Install Water Supply Systems: (Well) Fee S
<br /> SAC Fee S SD Siggqt�e of City ficial
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<br /> State Surtax: Fee;e
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<br /> Tota�Amount Paid to City . . . . . . . . . Fee S "
<br /> Code:Wh1tdF11e Copy;Canazy-Inspector's Copy;Pink-Finance Copy;Gold•Applicant's Receipt
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