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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 />CITY PFRMII N? J760 <br />Date <br />Owner _—S�Sd Address ix/o 5 <br />Contractor tti.a , Addrm <br />City License No. ,r 0 7(4 _ City <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: <br />Inside PlumNng Ofixtur(s —) <br />Water Meter (Six ) <br />Meter p <br />Remote # <br />Municipal Water Connection <br />NEW <br />Fee S <br />Fee S <br />Fee $ <br />❑ Copper ❑ _ _ <br />Municipal Sewer Connection Fee S' <br />XPVC ❑ Cast ❑ <br />MWCC SAC Charge Fee S <br />On Site Spetic System Fee S —_ <br />ACKNOWLEDGEMENT <br />rhr umk-mgmzl h,reh% iultwuk•dito r0.+npl of t!n% hinertl rwrmit. <br />inlulnM augaamr of all %ramal mnornumm, tc m%. %,nxhhom it, <br />wtiwm enn wntrn ahow TV undmiltnd unilmunl, ark] arrm <br />umkr rrrult% rel law hmn•J in uorr In thr work. <br />artnn% it impmu•rm-nt %Mtfu 1. that this permd dtx� ma rant am <br />awhrmt% hrJo u r a\ rn um nta reywnrtp rrrna• rmm� aprro%al•. and <br />Ihot Ihn rrnna Jnr m a gnm uulhtmt t to %rrrlar am pnnwtm ,rant (l1% <br />iw insme ar Sur law rule or mauhrwm %II wrak %hall h• l\Nlf m imt <br />ornpinmv with all Cm wilinamt, hwidap uak% aral it, h%uxh <br />Jeryrlment rrrulahrm. and %lull h• %uhlnt to m%pn'mm. ■nwnal or <br />risiminm h% the (lit w'hewwr .o ordere& the unlrnrrnrd arn•%s, In <br />(mitt am work hKinl toter to %udamm d thr %,ahwm.of this rrrnra <br />tlu of tynt <br />❑ ADDITION ❑ REPAIR <br />Water Well <br />Mechanical Equipment <br />Fireplace/Wood Stove <br />Moving/lifting Buildings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Design Review <br />Fire <br />Sprinkler System (Fire) <br />Othct•. - <br />After -the -fact Investigation <br />TOT41 <br />❑ REMODEL <br />Fee <br />S_ <br />Fee <br />S_ <br />Fee <br />S_ <br />Fee <br />S <br />Fee <br />S — <br />Fee <br />S <br />— Fee <br />S_ <br />Fee <br />S <br />— Fee <br />S _ <br />Fee <br />S — <br />State Surcharge Fee S ' S <br />Total Amount hi%1 to City Fee S <br />This permit is rxu valid until the proper fee is paid and it is approved <br />by an authomcd City Official. <br />City <br />(" (9— ) <br />Cotk Whn• FJ¢ ('op% C'anan Inyttitrr '� (lrp% Rnk Finauue Cop Gold -Applicant'+ 111"inn <br />