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GENERAL PERMIT CITY PERMIT NO. 7649 <br />CITY OF ORONO <br />11(1 BOX (Ih Date tf _ <br />CRYSTAL BAN, MINNESUTA 553:3 <br />1 (612) 473-7357 <br />Owner <br />r 4Address <br />Contractor Address <br />City License No. 4 <br />1 <br />7 State License No. <br />RFMARKS ND SPI-.CIAL CONDITIONS <br />PERMIT TYPE AND FEE <br />Inside Plumbing (#fixturrs_I <br />Water Meter (Site_) <br />1 <br />deter# <br />Remote I <br />NEW ❑ADDITION ❑REPAIR <br />Fee S _ )Water Well <br />Fee S — _ _ _- IMcchanical Equipment <br />Municipal Water Connc:lion Fre S _ <br />❑Copper ❑ <br />Municipal Sc%cr Connection Fre S _ <br />❑ PVC ❑cast n_ <br />MWCC SAC Charge Fee S <br />On Site Septi): System <br />ACA NOW LEDGEMENT <br />L71. <br />Fee S� <br />Fee S <br />oving !Lifting Buildings Fre S <br />nd Alteration (Excavation. Fee S <br />Grading. Filling, etc.) <br />re Fre S <br />SyNcm (Fire) <br />Fee S -- jAfter•the- fact Investigation <br />The underuaned herrbs acknowkdps mrotPl rel thu Itmlud <br />Pearn, utcludtng —qLm- of all -p.cftd lnfotm.Uon, <br />t.M., c-tndlunn. w naulr.mrna .roan abn,r Thr <br />underdgned understanda and agree. und.r Mnalh of I.. <br />that thU Penn), 1. -tnc Ut Umlfed to .op. to the awk. <br />.w Im Pro,em.nt wecttud. that thf- P-M,t dors <br />now grant N- wthunh to do wow► w acu,tue. reputnng <br />r POatr P.hnft -rPnoal.. and that Nu P.nnll dna- nal <br />atant au UtontY u, t/ul.t. Ylt pro,ttlan of ant C�It% <br />i wdfnanee of SLAW lar, mir of regulation. AU wwk shill he <br />dove In strict romptimce with aU t'Itc ordinance.. buUdtng <br />—de. u-drar health d.Ptutmrnt regulation-. and -h.11 be <br />aubiect to Inspe<UtM, appro,al w MWUon be Nr fits. <br />Whene,n -. wd—d. the undrragnrd agree. to --1 <br />and work lound 1.. 1,r m NolaU— at the <undlUont of <br />thl. Pt -i, <br />Signature of Applican�� <br />TOTAL <br />Fee S <br />Fee S <br />Fee S <br />State Surcharge: Fee S • �� <br />total Amount Paid to City Fee S� <br />This permit is not valld untll the proper Ire 1% pard and <br />it is approved by an authonicd City Official. <br />Sign rr of City Offic" 1 - s <br />Code; Wwrg—t'llit Copy Canny -It VKlot's CPP, Rn► t groat,. C cop> Gold Applkam'g 0 1 - <br />