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c. <br /> ��, • � <br /> �` �3 _,� , � n� City Permit �Va _ 4'7 3 0 <br /> � �� �� �� �� � <br /> � � � ����� � �� � 2� ��°�� <br /> ,� N� � ,�?� . <br /> Contractor Address <br /> ��..i`��� ���J� � � <br /> Owner Address O�'' <br /> ,�-� � � <br /> State License No. ��� �� City License No. <br /> GENERAL PERMIT <br /> C�ITY OF ORONO <br /> Crystal Bay, Minnesota <br /> 473-7357 /� � ��� � <br /> Date� <br /> Parcel No. <br /> Section No. Lot Block Subdivision <br /> Plat No. <br /> 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 with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br /> below. <br /> -�� y��� - �s�a 5l��d 3 <br /> ��,� - 7� �/�/:�- <br /> Water Meter: Fee$ ��• � � <br /> Sewer Hookup: (City) Fee$ <br /> Install Plumbing Systems: Fee$ --- ^ <br /> Install Sewage Disposal Systems: Fee$ Signature of a lica �`� /'9!(��—� <br /> I <br /> � <br /> Install Water Hookup: (City) Fee$ <br /> Install Water Supply Systems: (Well) Fee$ <br /> SAC Fee$ Signature C' O i 'al <br /> . �.� �. � � <br /> State Surtax: Fee$ <br /> Total Amount Paid to City . . . . . . . . . Fee$ �a�C� <br /> Code:White-File Copy;Canary-Inspector's Copy;Pink-Finance Copy;Gold-Applicant's Receipt <br />