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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 />Owner <br />0 <br />Id <br />Address <br />Contractor WALL. Address <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: gNEW ❑ ADDITION <br />Inside Plumbing ( # fixtures ) <br />IN dter Meter (Size ) <br />Meter # <br />Remote # <br />Municipal Water Connection <br />❑ Copper Q <br />Municipal Sewer Connection <br />❑ PVC ❑ Cast El <br />MWCC SAC Charge <br />ACKNOWLEDGEMENT <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee $ <br />The undersigned hereby acknowledges receipt of this limited <br />permit, including acceptance of all special Information, <br />terms, conditions or requirements written above. The <br />undersigned understands and agrees under penalty of law <br />that this permit Is strictly limited in scope to the work, <br />activity or Improvement specified: that this permit does <br />not pant any authority to do work or activities requiting <br />separate permit approvals: and that this permit does not <br />grant authority to violate any provision of any City <br />ordinance or State law, rule or regulation. All work shall be <br />done 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 speer to correct <br />any work found to be in violation of the conditions of <br />this permit. <br />re of Appli nit <br />CITY PERMIT NO. 66191 <br />Date I — 13 — <br />P 7 - <br />State License No. <br />❑ REPAIR <br />On Site Septic System <br />Water Well <br />Mechanical Equipment <br />Moving/Lifting Buildings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Yh <br />Fee $ <br />Fee $ c2D . ori <br />Fee $ <br />Fee $ <br />Fee $ <br />Other: Fee $ <br />After -the -fact Investigation <br />TOTAL <br />State Surcharge: <br />Fee $ <br />Fee $ A �rO <br />Total Amount Paid to City Fee $ c� V — <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />of City O <br />Code: White - File Copy Canary —Inspector's Copy Pink—Finance Copy Gold Applicant's Receipt <br />