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GENERAL PERMIT <br />CITY OF ORONO <br />P O BOX 66 <br />CRYSTAL BAY. MINNtSOTA 553:3 <br />(6i:)473-7357 <br />CITY PTRMIT NO.8165 <br />Date. <br />Owner,f)ohn\ <br />C.mlni. lnr U'f J ) , Sj-'t > AJ.Iry« . HO / L -/ -f t V <br />City Utensc No. Pl'J YI M I "V_______________ State License No_____________j I/tL <br />RLMARKS AND SPtCIAL CONDITIONS <br />nrec/.i ; <br />PERMITTYPli ANDH F:□ NLW □ ADDITION □ r 1 PAIR <br />Invide Plumbing (ftiMua's ___1 fee S Water Well fee S <br />Water Meter (Si/e___1 fee Mechanical Equipment Fee $ <br />Meier# <br />Remtite S Moving Lifting Buildings Fee $ <br />Municipal Water Connection <br />ricopper n <br />fee K land Alteration (fxc*avation.1 ee S <br />Cirading, Filling, etc.) <br />Municipal Sewer Ciiiineclioii <br />□ pvc □(.let n <br />fee s. 30JP f ire _Fee S <br />Sprinkler .Sysiein iFirel Fee S <br />MWee SAC Oiante fee $.............-Other____Tee S <br />On Site Septic Sy stem fee S After-the-fact Investigation Fa*.* ^ <br />ACKNOWLIDC.I Ml NT TOTAL <br />Tfi* uRdrmgnvd b»t*bir •HmowIrdaN ivcflpt of thl« ttmlUd <br />pvrmit. toctu41ns acccpUoc* oi all ipMial tafonaatto*. <br />Irtma, t^rnmUarnm at r»«iitf»inanto «nt«an abm*. Hir <br />undanicnod undarstan^ a«d afraaa «mdar panaliv of la«a <br />that ihia brnnlt u aUtctla hmilad la atopa to iha «oah. <br />artivtla m hnproirainont «»aclflad; Ihal ihia pafvnli doaa <br />nrd vaat aay authoillir to do wotli tar aetlYlUas raquirtag <br />•aparala patoilt appratala. aad Mtat liMa panait doaa ael <br />srant aulhoiitv to atolata any paoatpon of aay City <br />ortUnaoca or SUta law. rula or ragulation. AB woall dtal ba <br />doaa ia autrt roaipllaaea aidi aB City ordttiaaaaa. huildins <br />coda# and/or haalUi dapattmaal ragtiUttona. Mid ahall ha <br />aublaat to laapartloo. appratai at ralaatloa by fk* Ott. <br />dhaaayar to ordarad. Bm undardgaad Mraaa to rorracl <br />any worb found to ba In «iolaO»n of tha r«iadltion» of <br />Udapaimit'7 <br />Signatiitr OI /^plicant j <br />rr(r.„V /!r <br />State Surcharge: <br />Total Amount Paid to City <br />Fee S.. i'O <br />f„ , 30..-g <br />This permit Is not valid until the proper fee is paid and <br />it is approved by an authori/ed City Olficial. <br />Signatim.* of City Official <br />Cotlr miUte lirCtify rafur> bt^lortCopK Pink Itnanc< Cofv Cnild ApfilKanrt Rriripl