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City Permit.l? 5289 <br />Contractor dei Address C:�t,[�f .L+ <br />Owner " _" Address 'a,►,. <br />State License No. <br />Parcel No. <br />City License No, <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />Date11.t & f <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, and shall include ail additional specifications as listed <br />below. <br />Water Meter: <br />Fee S <br />Sewer Hookup: (City) <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee $ _.-20,60 <br />Sig re of applicAnt� <br />Install Water Hookup: (City) <br />Fee S <br />Install Water Supply Systems: (Well) <br />Fee $ <br />SAC <br />Fee $ <br />i of City or ' I <br />State Surtax: <br />Fee S J-5,19 <br />W <br />Total Amount Paid to City . ... .... <br />. Fee S c '-SO <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />