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GENERA PERMIT CITY PERMIT NO. 7963 . <br /> CITY OF ORONO S-- <br /> P.O.BOX 66 Date <br /> CRYSTAL BAY,MINNESOTA 55323 <br /> (612)473-7357 <br /> Owner 6� -e_ Address K�tCJ <br /> Contractor_12Z" Address JAIL. <br /> City License No. �S` 3 State License No. <br /> REMARKS AND SPECIAL CONDITIONS <br /> i <br /> PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑REPAIR <br /> Inside Plumbing(#fixtures_) Fee $ Water Well Fee $ <br /> Water Meter(Size—) Fee $ Mechanical Equipment Fee $ <br /> Meter# <br /> Remote# Moving/Lifting Buildings Fee $ <br /> Municipal Water Connection Fee $40U, 6Z Land Alteration (Excavation, Fee $ <br /> ❑Copper n Grading, Filling, etc.) <br /> Municipal Sewer Connection Fee $ . Fire Fee $ , <br /> ❑ PVC ❑Cast n Sprinkler System (Fire) Fee $ <br /> MWCC SAC Charge Fee $ Other: Fee $ <br /> On Site Septic System Fee $ After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> The undersigned hereby acknowledges receipt of this limited <br /> permit, including acceptance of all special information, <br /> terms, conditions or requirements written above. The State Surcharge: Fee $ <br /> undersigned understands and agrees under penalty of law _ <br /> that this permit is strictly limited in scope to the work, <br /> activity or improvement specified; that this permit does <br /> not grant any authority to do work or activities requiring Total Amount Paid to City Fee $ <br /> separate permit approvals; and that this permit does not <br /> grant authority to violate any provision of any City <br /> ordinance or State law,rule or regulation.Ali work shall be <br /> done in strict compliance with all City ordinances,building <br /> codes and/or health department regulations, and shall be This permit is not valid until the proper fee is paid and <br /> subject to inspection, approval or rejection by the City. <br /> Whenever so ordered, the undersigned agrees to correct it is approved by an authorized City Official. <br /> any work found to be in violation of the conditions of <br /> this permit. � <br /> S' �Appficant Sign of Cik0ff1CWa&b6_ <br /> Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt <br />