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GENERAL PERMIT <br />CITY OF ORONO <br />P.o.Box t.tt <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />CITY PERMIT NO. 7957 <br />Date Z-•76— <br />Owner At Address "26',-;— CItdC.li A RCS. <br />r /� <br />Contractor Lk),14-,.lc i i( ' Address � Ll" L1 /`G+��� <br />City License No. State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />ACKNOWLEDGEMENT <br />The unJeru{ned hrrtbv .rYnu. I.d{e. rrr , of 01. banal <br />wrrrin. Inc ludvl. .rr 1_1 ul W —1.1 Inlorm.Yon. <br />Yrtrr, ru,mu..n. d rtOUWmrnV +n1Un .bar. Thr <br />uoa.rrfsre undrnUnd..nd .enc. undrr wo.lt, of 4. <br />Ill.l NU wrmlt Ir rWral am1Yd b .cop to th. .ue{, <br />.rurin r. UnDrotemenl q.[Inre: N.1 l wenn dou <br />Ix y.n1 .n ryu,nrt lir 10 do .at n «..Iw. nrylrhlt <br />..vum wm+u .Loraw:.na Iha Ihl. wrmu d... n <br />O.nl rrNnnt. .td.Y era Aa of CII. <br />.umn.nr. nr Gt.n I.., .uY orrrry4uun. A.w{k NW b. <br />dnn. In —It corn OU.nrr .IN W Cln urdul.ncr., buddln{ <br />1u 1 .nd/or MJth deb -11 rt{v UUnn., urd NW WwbMrl b NW.r W.U.I. .p ,.W ,rt Unn br Nr C11, <br />n-b.n —d—d. m..aerr d artr. w r <br />.Pik round u. d to .tn4Uon of Nr ronmuon j <br />Nu y.rmre <br />Signature of Apphcant <br />TOTAL <br />State Surcharge: Fee S _ /. <br />Total Amount Paid to City Fee S 461, <br />This permit is not valid until the proper fee is paid and <br />it is approved b) an authorized City Official. <br />Code. white I He Copy Canary Inspector'. CovY Pink -1 III{ <br />orcity <br />Gold -Apytlme's il{{Mpt <br />PERMIT TYPE AND 1:1 F: <br />(JQ NEW ❑ ADDITION <br />/ \ <br />❑ REPAIR <br />Imide Phlmhmp 1*fi%1urc,_1 <br />Fcc S _ <br />Water Well <br />Fee S -- _ <br />Water Meter (Size_) <br />Fee S. __ <br />Mec'hanicalFlluipment <br />Fcc S __ <br />M.ler <br />Remote <br />Moving 'Lifting Buildings <br />Fee S <br />Municipal Water Connection <br />Fee S .St�e VC <br />Land Alteration (Excavation. <br />Fee S <br />1_1Grading. <br />Filling, etc.) <br />*opprr <br />Municipal Sewer Connection <br />Fee S. <br />Fire <br />Fee S <br />❑ PVC ❑Cast <br />r_ <br />Sprinkler System (Fire <br />p <br />Fee S <br />MWCC SAC Charge <br />Fee S_ <br />� <br />their: - �ft`Z1) ( �C3�' s <br />//�� <br />�� Fee S110 <br />On Site Seplic S),tem <br />Fee S <br />Aflcr-ihe-fact Investigation <br />Fee S <br />ACKNOWLEDGEMENT <br />The unJeru{ned hrrtbv .rYnu. I.d{e. rrr , of 01. banal <br />wrrrin. Inc ludvl. .rr 1_1 ul W —1.1 Inlorm.Yon. <br />Yrtrr, ru,mu..n. d rtOUWmrnV +n1Un .bar. Thr <br />uoa.rrfsre undrnUnd..nd .enc. undrr wo.lt, of 4. <br />Ill.l NU wrmlt Ir rWral am1Yd b .cop to th. .ue{, <br />.rurin r. UnDrotemenl q.[Inre: N.1 l wenn dou <br />Ix y.n1 .n ryu,nrt lir 10 do .at n «..Iw. nrylrhlt <br />..vum wm+u .Loraw:.na Iha Ihl. wrmu d... n <br />O.nl rrNnnt. .td.Y era Aa of CII. <br />.umn.nr. nr Gt.n I.., .uY orrrry4uun. A.w{k NW b. <br />dnn. In —It corn OU.nrr .IN W Cln urdul.ncr., buddln{ <br />1u 1 .nd/or MJth deb -11 rt{v UUnn., urd NW WwbMrl b NW.r W.U.I. .p ,.W ,rt Unn br Nr C11, <br />n-b.n —d—d. m..aerr d artr. w r <br />.Pik round u. d to .tn4Uon of Nr ronmuon j <br />Nu y.rmre <br />Signature of Apphcant <br />TOTAL <br />State Surcharge: Fee S _ /. <br />Total Amount Paid to City Fee S 461, <br />This permit is not valid until the proper fee is paid and <br />it is approved b) an authorized City Official. <br />Code. white I He Copy Canary Inspector'. CovY Pink -1 III{ <br />orcity <br />Gold -Apytlme's il{{Mpt <br />