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r <br />City Permit 5719 <br />GENERAL PERMIT <br />crry of orono <br />Crystal Bay, Minnesota <br />473-7357 <br />Date <br />Parcel No. <br />Section No.Lot Block Subdivision <br />Plat No. <br />w*-;Other Description: <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 w'*h the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />,4 <br />Water Meter:Fees <br />Sewer Hookup: (City)Fee $ <br />InitiU Plumbing Systems:Fw S <br />Install Sewaie Disposal Systems:Fve$ <br />Install Water Hookup: (City)Feet <br />Install Water Supply Systems; (Welt)Fees <br />SAC Feel <br />Sute Suiux:Feel <br />Total Amount Paid to Giy.................. . Feel <br />of C ity Off 19 <br />eo <br />Cod*: White-Fik Copy;r«naiy In»p*ctot’i Copy; Rnk-Fin*nc« Copy; Cold-Apfdkafit't Rec«ipf