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£ <br />Contractor S tVsL.L. <br />Ouinw J^. ^^VZA a J <br />City Pentiit 5505 1 <br />. Address m. <br />State Licenie No.. <br />. Address Rj^ysn>€^ <br />.City License No. <br />W <br />• i. <br />GENERAL PERMIT <br />OTY OF ORONO <br />ft <br />Crystal Bay, Minnesota <br />473-73S7 <br />D.te <br />Parcel No______ <br />Section No------------------Lot.. Block.. Subdivision <br />Plat No.. <br />Other Description: <br />1 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 />ay S*, <br />Water Meter Fees <br />Sewer Hookep: (City)Pees <br />InftaOPIumbiiifSyitefni:Fees <br />buUl Sewife Diipoiel Systemi:Fees <br />liuteU Weter Hookitp: (City)Fees <br />Initall Weter Supply Syitems: (Well)Fees <br />SAC Fees <br />Stele Surtex:Fees <br />Toul Amount PekI to aty................ . l ee S <br />Signal^ of aiy Omdalu J J <br />Code: WMte-Fae Copy; Caurylnipector't Copy; PlnkFliieiicc Copy; GoldApplfeeiit*i Receipt