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City Permit.N? 526 <br />Contractor �t�5'TditlKa w if .wa Addressgo *1 W <br />Owner A G S Address em2300 -Raquia <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 />Date &/ — 71 <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 />Water Meter: Fee $ <br />ee <br />Sewer Hookup: (City) Fee S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee $ tgnat of plica <br />Install Water Hookup: (City) Fee S � <br />Install Water Supply Systems: (Well) Fee $ <br />SAC Fee S Sign ur ty Z:22 <br />State Surtax: FCC $ . S� <br />Total Amount Paid to City ......... Fee S <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />