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GENERAL PERMIT <br />CITY OF ORONO <br />CITY PERMIT NO.8589 <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />, (612)473-7357 <br />Date <br />Owner ;c-?><.va-€- <br />Con tractor <br />City License No------- <br />Address <br />Address <br />"^(4pO /^^imxyyy <br />State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: □ NEW □ ADDITION □ REPAIR <br />Inside Plumbing (#fixtures __)Fee S <br />Water Meter (Size <br />Meter#___ <br />.)Fee S <br />Remote #, <br />Municipal Water Connection <br />D Copper ri <br />Fee S <br />Municipal Sewer Connection <br />□ PVC □ Cast Q <br />MWee SAC Charge <br />On Site Septic System <br />Fee S <br />Fee $ <br />Fee S. <br />Water Well Fee $ <br />Mechanical Equipment <br />Moving /Lifting Buildings <br />Fee S <br />Fee $ <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Fee $ <br />Fire <br />Sprinkler System (Fire) <br />Other:____________ <br />After-the-fact Investigation <br />Fee $ <br />Fee S <br />Fee $ <br />Fee $ <br />i * <br />ACKNOWLEDGEMENT <br />Tilt undtnlpitd lititliy acknowltdiu itctlpi of ihAi Umittd <br />ptimit. indudlBi tectpltne# of all infoimatloii, <br />Itmt, coaditiont or itquirtnitnU wdttan tbovt. Tht <br />tandardintd UBdertUndi and tgittt uiidtr pantlty of law <br />that this pttnil is strictly Umittd in scope to tht work, <br />activity or Improvement vedfled; that this permit dots <br />not grant any authority to do work or activitits rtquiring <br />sapetate permit approvals; and that this permit does not <br />grant authority to violate any provision of any City <br />ortUnance or State law, rule or regulation. AU work shall be <br />dona in strict compliance with aU City ordinances, building <br />codas and/or health department regulations, and shall be <br />aubicct to inspection, spprcnral or leiection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in \1olation of the conditions of <br />this permit. <br />SignJi^retLof App cant <br />TOTAL <br />State Surcharge:Fee S <br />Total Amount Paid to City Fee t <br />This pennit is not valid until the proper fee is paid and <br />it is approved by an audiorized City Official. <br />Signature of^Aty Official <br />Code; White-FUe Copy Otiury-Inspector's Copy Pink-Finance Copy Applicant't Receipt