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GENERAL PERMIT <br />CITY OF ORONO <br />9064 <br />PO. BOX 66 <br />CRYSTAL BAY. MINNESOTA 5.S.^23 <br />(612) 47.V7.3.S7 <br />UhJ-K.r <br />Contractor ^ ------ <br />CITY PERMIT N9 <br />/-Date <br />Ottwr <br />Address , I Aft f ^ / /o ^ <br />___ Address <br />City License No.I '3_I <br />REMARKS AND SPEC^KL CONDITIOIsISECIAL CONDITIOI)IS ■ H ^ I <br />\Tf( I)] t^6- Y ^ "C"LL4- <br />PERMD TYPE AND FEE <br />Inside Plumbing (/^fixtures _ <br />Water Meter (Size-----) <br />Meter# ---------------- <br />^ NEW <br />Fee $ <br />Fee $ <br />□ addition <br />Remote # <br />Municipal Witer Connection <br />□ Copper □ <br />Fee $ <br />Municipal Sewer Connection <br />□ PVC □ Cast □ <br />MW'CC SAC Charge <br />On Site Spetic System <br />Fee $ <br />Fee $ <br />Fee $1GJ2L <br />acknowleixiemfnt <br />m- undcrx.pm-d hefebv acknowkslp.-. n.w.pl .rf Ihb limm-d pcrimi. <br />,n.luJiw; aavpuniV .< all v(xxial .nfonnation. lerwv oaulmom <» <br />aMuiH-mcnb «nltfn aWxv Tht uixk-ragiwl undcr-landv end agn:^ <br />icimn .« impi..u-nK-m sixx-ifK-d: that ih>v pi-rmit d.xn ma (iiani an> <br />aulhonl\ K.do »*«k 111 acliiilK' rcquinnp separaw pi-iitm appimak and <br />ihanhispcmiiid<«MHaKianlaudH.m% ioM..lau-an% p,.Aiv««H4an% (ii> <br />.Hdmana- or Stale law. ruk- .a a-^ulalion Ml ».«K vhall K' Ooix in Mtxl <br />iximpliami- with all Cits ordinanuv huiklini! tndi' and <a hi-alih <br />ikTamncnl reitulamatv and shall he subj«l to impexluai. apprmal o. <br />uremai hv the ('it> WheneAei m. oidei^Mhe <br />, ,'iieet ans work found to be in Motatiiai of the eondiuons ii this permit. <br />□ REPAIR <br />Water Well <br />Mechanical Eejuipment <br />FircplatxVWtxxl Stove <br />Moving/Lifting Buildings <br />Land Alteration (Excavation, <br />Grading. Filling, etc.) <br />Design Review <br />Fire --------------------- <br />□ REMODEL <br />Fee $ _ <br />Fee $ <br />Fee $ — <br />Fee $ — <br />Sprinkler System (Fire) <br />Other ----------------- <br />After-the-fact Investigation <br />Fee $ . <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee S <br />Fee $ <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee $ .£-2---- <br />FeesT^Bl <br />a ^7^^- <br />This permit is not valid until the proper fee is paid and it is approved <br />by an authormxl City Official. <br />Signature of Signature of City Official ^ <br />______L/' <br />J <br />CihIc; While I ile ( anar> Inspixlot's Cops Pink I inam.c Copy (jold Apjilicanl s Receipt