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GENERAL PERMIT <br />CITY OF ORONO <br />P.O. BOX 66 <br />CRYSTAL BAY. MINNESOTA 553-1 <br />1612) 4 3-7357 <br />CITY PERMIT N? 8864 <br />mic - 14bri <br />rx <br />c) t t _i�� � _ Addrm �L / r �- A <br />- <br />('t+nlracicx Address <br />City Lilxttsc No. �i� City <br />REMARKS r�ND SPECIAL <br />ACKNOWI.FDGEMENT <br />rhe unk,,Wwl hm+% jkkm-k.lra, rr rq I thi• hmtrrl rrrmu <br />�ml.J.nr aarMme d all -caul 0—.1—tom. .,wdaw,n. tw <br />nyurrnrm %nrrn ahwe TV unk'rvrml ml—u" and arrrr• <br />unkr retuht +� lar riot tht• rrrrtwt n.tntt. Lmrtnl m...+r.• w � thr weal <br />aautrh aw mmx vi rnu .ra�rGnl. slur the rcnmi Sr nv ram ant <br />authtnn wttk+rtwl.w aautnx�+ryunrtr rryrar rettmt aryrt•tah. and <br />m <br />than thn rcM tkr. n d ram a uLk—li w. %whic am tt <br />rvtngm 4— 01% <br />trthrunr tw tiiar 4w. r,ak �t rcrulagw+ •\II •tw► Jul) hr tkvr to .int <br />.t.mrlunr with as r'rta twtlmni h"mr oak, and tw Iteallh <br />&fUnWnl rerylatrwn and .lull tt •41.11 w+ tnyntwn argtr.nal'L, <br />rrtntttvt M ihr rlt% Nhrnnta v..mdr tit thr utdrr•,rm.d win, r�, <br />aawmt an. ctrl L wn1 Y+hr m .w 4utr, � i ttK . t wahtrt rn +I Ilw. rermn <br />S*mtwc of Appl nt <br />►Wr- <br />IITION O REPAIR <br />Nater Nrll <br />Alcthanical Fyuipment <br />I•ireplace %xd Slow <br />Mo%ing'hi'ling Bukhrip <br />Land Altenmon I E\ca%atim <br />Grading. Filling. CAL-) <br />Doiga Rc%ica <br />Fire,_— <br />Sprinkler S%,wrn (Fire) <br />Other- -- -- -- - --- <br />After-the4act Inwagatitm <br />TOTAL <br />State Surcharge. <br />Tiled Anwunt Paid to City <br />O REMODEL <br />Fee S a.LS(' ✓� <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fm S <br />Fm S <br />Fee S <br />Fae S <br />Fee S <br />Foe S <br />Thi% permit i, nx %slid until :he pmgx-f fee es paid and it is approved <br />h. an authorised City OiFWW. <br />of City O tidal <br />Crtde N'lulr- 1* (Ign Carura ln.rtllitr•. corn Pink Finame CoM CwM- AppWim't PAcd" <br />PFRStrr TYPE AND FEE <br />� NFW O AD[ <br />InsKle PlumMng oliimurm ___-) <br />Fee S <br />Ma•er Meter ISuc __ I <br />Fee S <br />Meter -- - - - - --- ----- -- <br />- - ---- <br />Remtttc• r -- ---- <br />-- — <br />Municipal Uater C•onncttumn <br />Fee S <br />❑ Coplrr ❑ ----- <br />- - - <br />Muniopal Sruer Connec-uon <br />Fit S <br />❑ PVC O Cad ❑ <br />WCC SAC Charge <br />Fee S _ --- <br />On Sitc Spetic S%ucm <br />Fix S _ <br />ACKNOWI.FDGEMENT <br />rhe unk,,Wwl hm+% jkkm-k.lra, rr rq I thi• hmtrrl rrrmu <br />�ml.J.nr aarMme d all -caul 0—.1—tom. .,wdaw,n. tw <br />nyurrnrm %nrrn ahwe TV unk'rvrml ml—u" and arrrr• <br />unkr retuht +� lar riot tht• rrrrtwt n.tntt. Lmrtnl m...+r.• w � thr weal <br />aautrh aw mmx vi rnu .ra�rGnl. slur the rcnmi Sr nv ram ant <br />authtnn wttk+rtwl.w aautnx�+ryunrtr rryrar rettmt aryrt•tah. and <br />m <br />than thn rcM tkr. n d ram a uLk—li w. %whic am tt <br />rvtngm 4— 01% <br />trthrunr tw tiiar 4w. r,ak �t rcrulagw+ •\II •tw► Jul) hr tkvr to .int <br />.t.mrlunr with as r'rta twtlmni h"mr oak, and tw Iteallh <br />&fUnWnl rerylatrwn and .lull tt •41.11 w+ tnyntwn argtr.nal'L, <br />rrtntttvt M ihr rlt% Nhrnnta v..mdr tit thr utdrr•,rm.d win, r�, <br />aawmt an. ctrl L wn1 Y+hr m .w 4utr, � i ttK . t wahtrt rn +I Ilw. rermn <br />S*mtwc of Appl nt <br />►Wr- <br />IITION O REPAIR <br />Nater Nrll <br />Alcthanical Fyuipment <br />I•ireplace %xd Slow <br />Mo%ing'hi'ling Bukhrip <br />Land Altenmon I E\ca%atim <br />Grading. Filling. CAL-) <br />Doiga Rc%ica <br />Fire,_— <br />Sprinkler S%,wrn (Fire) <br />Other- -- -- -- - --- <br />After-the4act Inwagatitm <br />TOTAL <br />State Surcharge. <br />Tiled Anwunt Paid to City <br />O REMODEL <br />Fee S a.LS(' ✓� <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fm S <br />Fm S <br />Fee S <br />Fae S <br />Fee S <br />Foe S <br />Thi% permit i, nx %slid until :he pmgx-f fee es paid and it is approved <br />h. an authorised City OiFWW. <br />of City O tidal <br />Crtde N'lulr- 1* (Ign Carura ln.rtllitr•. corn Pink Finame CoM CwM- AppWim't PAcd" <br />