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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY. MINNESOTA 55323 <br />(612)473-7357 <br />CrTY PERMIT NO.8043 <br />Date !6, <br />Owner, <br />CctnlrAclnr If ^ ' <br />City License No._____ <br />\J^0/\J Address ir\V~ <br />REMARKS AND SPECIAL CONDITIONS <br />Address .vrWx <br />State License No. <br />PERMIT TYPE AND FEE; <br />Inside Plumbing (^Mixtures__) <br />Water Meter (Size__) <br />Meter#______________ <br />Q NEW <br />Remote I, <br />Municipal Water Connection <br />D Copper r~l <br />Fee S <br />Fee S <br />Fee S. <br />Municipal Sewer Connection <br />SpVC DCast Q. <br />MWee SAC Charge <br />On Site Septic System <br />Fee S- <br />Foe It '30 00 <br />Fee S_________ <br />ACKNOVv LLDGEMENT <br />Th« underalined hereby acknow^edeti receipt of thU limited <br />permit. Including ecceptence of ell ipeciel information, <br />terme, conditlont or requirementa written above. The <br />underaigned undentandi and agreei under penalty of law <br />that thii permit is strictly Limited In scope to the work, <br />activity or improvement specified; lhat this permit does <br />not grant any authority to do work or activities requiring <br />separate permit approvals; and that this permit does not <br />grant authority to violate any provUlon of any City <br />ordinance or State law, rule or regulation. AO work shall be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulatioiu, and shall be <br />subject to Inspection, approval or rejection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in violation of the conditions of <br />this permit <br />4 □ REPAIR <br />Water Well Fee S <br />Mechanical Equipment Fee S <br />Moving /Lifting Buildings Fee S <br />Land Alteration (Excavation,Fee S <br />Grading. Filling, etc.) <br />Fire Fee S <br />Sprinkler System (Fire)Fee S <br />Other:_ Fee S <br />After-thc-fact Investigation Fee $ <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City Fee s“3(D.S0 <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signature of City Official <br />y <br />Code; \^Tiitc-nic Copy Canary-lnspcctor’i Copy Pink-Hnance Copy Gold-Applicant*! Receipt