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GENERAL PERMIT <br />CITY OF ORONO <br />Owner <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />Laam-Iti l'�I'/S�fI1S�1_AJ Address <br />Contract...- _ __ r Address <br />City Licens-, ' <br />REMAR;'`_ <br />a <br />SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: ❑ NE;v [I ADDITION <br />Inside Plumbing (#fixture• ) I-;:. � . <br />Water Meter (Size ) Fee S -- <br />Meter # <br />Remote <br />Municipal Water Connection Fee S <br />❑ Copper ❑ <br />Municipal Sewer Connection Fee S -. --. <br />D PVC DCast <br />MWCC SAC Charge Fee S <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />Fee S <br />The undersigned hereby acknowledges receipt of this limited <br />permit. including acceptance of all special information. <br />terns, conditions or requirements wdtten above. The <br />undersigned understands and agrees under penalty of law <br />that this permit is striedy limited in scope to the work. <br />activity or improvement specified; that this permit does <br />not grant any authority to do work or activities eeauiring <br />separate permit approvals; and that tbis permit does not <br />pant authority to violate any provision of any City <br />ordinance or State law. rule or regulation. AU work @bail be <br />d%.ne in strict compliance with all City ordinances. building <br />codes and/or health department regulations, and shall be <br />subject to inspection, approval or rejection by the City. <br />Whenever so ordered. the undersigned ape" to correct <br />any work found to be in violation o* •tie conditions of <br />this permit. <br />Signa" of Applicant., // <br />CITY PERMIT NO. 8495 <br />Date <br />State License No. <br />❑ REPAIR <br />Water Well <br />Mechanical Equipment <br />Moving /Lifting Buildings <br />Land Alteration ( Excavation, <br />Grading, Filling, etc.) <br />i re <br />rinkler Systerr, (Fire) <br />Fee S <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee S <br />Fee S <br />he • Fee S <br />fter-the-fact Investigation <br />TOTAL <br />Fee S <br />State Surcharge: Fee S <br />Total Amount Paid to City Fee S `�/� •CJU <br />This pennit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signature of City <br />., <br />Code: White - File Copy Canary -- Inspector's Copy Pink -Finance Copy Gold- Applicant's Receipt <br />