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GENERAL PERMIT �TTY PERMTT N� s�o� <br /> CITY OF ORONO . <br /> P.O.BOX 66 �� July 7, 1987 <br /> CRY"STAL BAY,M�NNESOTA 55323 � <br /> (612)473-7357 <br /> Owner Marvel Pelkey A�r� 1700 Shoreline Drive <br /> Contractor OWner Address <br /> City Iacense No. City <br /> REMARKS AND SPECIAL CONDTTIONS <br /> 75,000 BTu Furnace <br /> PERMTT TYPE AND FEE: � NEW 0 ADDTITON ❑ REPAIR � REMODEL <br /> Inside Plumbing(#fixtwes ) Fee $ Water Well Fee $ <br /> Water Meter(Size ) Fee $ Mechanical Equipment ` Fee. $ 30 .00 <br /> Meter# Fireplace/Wood Stove Fee $ <br /> Remote# Moving/Lifdng Buildings Fee $ <br /> Municipal Water Connection Fee $ Land Alteration(Excavation, <br /> O Copper � <br /> Grading,Filling,etc.) Fee $ <br /> Design Review Fee $ <br /> Municipal Sewer Connection Fee $ <br /> Fire Fee $ <br /> ❑ PVC ❑ Cast � <br /> Sprinkler System(Fire) Fee $ <br /> MWCC SAC Charge Fee $ Other. Fee $ <br /> Qn Site Spetic System Fee $ <br /> After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> State Swcharge: Fee $ .50 <br /> The u�ersigned hereby acknowledges rxeipt of this limited permit, <br /> includ+� aoceptance of all sp�;ial infmmation, terms, conditions or Total Amount Paid to City Ff.e $ 3 0 .5� <br /> requirements written above. The undersigned u�erstands and agrees <br /> under penalty of law that this permit is striefly timited in scope to the work, <br /> activity or improuement sp�ified;that this permit does not grant any <br /> authority todo work or activities requiring separate permit approvals;and <br /> that this permit does notgrantauthoriry to violate any provisia�ofany City ' <br /> ordina�e or State law,rule or regulgdon.All work shall be done in strict '���t is not valid until the proper fee is paid and it is approved <br /> compliance with aD City ordinnces, buildi� codes and/or health b �Il au�lOI'1ZCd Cl D�CI�. <br /> department regulations,and shall be subject to inspection,approval or y �' <br /> rejection by the City.Whenever so ordered,the unciersigned agras to <br /> correct any work found to be in violation of the condioons of this permit. <br /> Signature of Applican <br /> Signature o ity O�cial <br /> Code: White—File Copy, Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt <br /> . <br />