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GENERAL PERMIT <br />CITY OF ORONO <br />P-0. BOX 66 <br />C RYSTAI.. BAY, MINNESOTA 553.1.3 <br />(61')473-71157 <br />CITY Pt:Rfvif No. 66821 <br />Date Y' <br />()V4'r1l'r' �, r 1 <br />ress <br />('t)ntra tc)r -__ C_ oA Addre,,� <br />City License No. State License No. <br />REMARKS ANIS SPLCIAL CONDITIONS <br />Atli (II), /I/-- sw" <br />PERMIT TYPL AND I=[.F: IN NEW ❑ADDITION <br />In%ide Plumbing (# tixtureti... i Fee S <br />Water Meter'Slzol� x) Fee <br />Meter <br />Municipal Water C onnec tI011 E=e <br />12'Copper Q___ <br />Municipal Sewt:r Connection Fee S <br />0 PVC L'J east Q______ <br />MWCC SAC Charge Fee S <br />ACK N, OWLE,DC' I-_"MU,INT <br />The undertagned herebv ackni►wledgers receipt of this limited <br />prrmit, inciutilnk acceptance of all %pedal information, <br />terms, e4,mcdtion* or requiremer►ts written above. The <br />underttened und4-rstanrl+4 and agrevs under penalty of law <br />that fts permit is titt•tc UV lirnitted in sco)pt to the work, <br />+ctivity tr impri.►semrnt vecifird, that this permit dues <br />nt►t grant any euthonty to do work to activities requiring <br />se G ara tr yr rm i t app r 4 n al s . and that this pe rm t t does n o t <br />grant auth ,nt� UP %iolatr an-, protision of anv City <br />,►rdinanr•e or Mate law, rule .,t rrgulatsun All worlt shall be <br />d(br►er in strict tonlP ianct with all t it-, ordinanreo, building <br />codrs and tir health department regulatac►ns and sha11 tar <br />lubprct to inP-41otb an, approval .,r relet•htrn bv they t'tt% <br />%heAPver s•r <<rci•rvd, the unrlrmignecd ricers tt.) correct <br />an** w(wb f,iurl t ter tw of .to,lat.tt►n #►f the c,►ndition,4 )f <br />to"* permit <br />Fasnaturc° App11k .i, r <br />!W& M h t to I ire, t 4 0• f it <br />Oil Site Septic System <br />Water Well <br />Mechanical Fyuipmen t <br />Mo- .ng/Liftiny. Budding,, <br />Lan(l Alteration <br />Grading, I'llfing, eta.) <br />Fee S <br />Fac S <br />I cc S <br />l- ce S <br />Other: Fee S <br />After -the -fact Investigation Fee S <br />TOTAL <br />Stite Surcharge, <br />r er S �(1 <br />Total Amount Paid to City FCe S <br />This permlt is not vdlid until the,• proper IS 11111d Ind <br />it is approved by an juthmitcd ("it) Otti.i-d <br />tiisnatu crt (qty Of1i.iol <br />1"lr+it 1 s t `4� t e1� :list r fir= <br />