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GENERAL PERMIT CITY PERMIT NO. 7953 <br />CITY OF ORONO <br />P.o.uo\udte <br />CRYSTAL BAY• %1l.\%l.S0IA > c <br />IGI'_14 i•7i57''^-�^ --y <br />Owner j1'C.L l_ Address - 37 <br />Contractorla 6llbJ_4�_ AJJtCss 544- 1 <br />City License No. <br />State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />- Ma <br />ie�tc <br />1�.(faCae c <br />PLRMIT TYPE: AND FEF: <br />❑ NFW ❑ ADDITION ❑ RI PAIR <br />Inside Plumbing Wiirture+_ I <br />Fee S —_ <br />Walel Well <br />Fee S <br />Wale, Meter (SI/c•_I <br />Fee G _ _ <br />%lech•Iltical Equipment <br />�{-- <br />Fee S30. <br />MCterf <br />Remote? <br />%losing LlfungBuildings <br />Fee S <br />Municipal Water Connection <br />❑copper ❑ <br />Fee S. <br />_ Land Alteration IFscavation. <br />Grading. Filling. etc.I <br />Fee S <br />NhmwipaiSererConnCcuon <br />Fee S. ____ <br />Fire <br />Fee S <br />❑ PVC ❑('asl <br />r_ <br />Sprinkler Sy%ten) (I IrvI <br />Fee S <br />%IWCC SAC Charge <br />FCC S <br />her. <br />Fee S <br />()Il Site septic system <br />Fee S <br />After -the -fact Imesttgauon <br />Fee S <br />ACKNOWLEDGEMENT <br />TOTAL <br />Th, .14. .d h4 b. w.nav lydPr rrrript nl mu 1-1-1 <br />p.rmn. m•ludmt •.91.nr. .4 W m.rl.t ul l�.n.u••n. <br />.na.Ntn.d und•n4ne1.^7d .Or.r <br />:U. <br />►N4 Mnnn n lnr U. U -1d In tlup. l.. m. •..k. <br />.rwu, Dnvr..r.m.m v.nn.a. ma w• w.mu dw. <br />• wllVw u•nonn b do .v. � .r u. K na�.nnt <br />.r.Y p.mtll .Dpror.l.. old N.I W. --K d- <br />-W <br />nut <br />O•nl wNMl1 b HuLlr muHtl.•o/ .n ell. <br />ordln.nrr nr .YY Vtl, rvu m rr, tuLuun Aa •urk JIW G <br />door m onrl rnmpll.Drr elm JI Lit,urammn buJd:nt <br />roar. .wd,ar 41.0—m— nN1.Wwl..nd NO b. <br />:ubMrl b m.D«Um, pDr�•. •1 •rYun b. •M t <br />N h.n •tla.l.a. m. �nd.rdtn.a wr•• l <br />.� iHna In w u. a„wu,m nl ul. r•muu•,m r�d <br />In. -a <br />Sngnaulre 1 Spplic�rlt <br />------ <br />Coar: rUrt FYr cDpr C.n.ln Impca loll CIpt <br />State Surcharge: Fee ShT_ <br />l otdl Amount Paid to City Fee S 3n• Sy <br />This pemtit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />sig lj. of city officia. <br />Lwnll jaeAbs (A) <br />Pink A lntln< Cnp> C,dd Appacon's retalin <br />