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GENERAL PERMIT <br />CITY OF ORONO <br />CITY PERMIT NO,8384 <br />P O.BOX 66 <br />CRYSTAL BAY. MINNESOTA 55323 <br />(612)473-7357 <br />Owner <br />Contractor , <br />City License No.__ <br />(^(^n S'!- <br />Address /:) _____ <br />Address *^~7^ / c TL-t ,7>l^ <br />State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />□ ADDITION □ REPAIR <br />Inside Plumbinf (Ifixturcs <br />_)Water Meter (Si/e <br />Meter# <br />Pee S <br />Fee S <br />Remote# <br />Municipal Water Connection <br />DCopper n <br />Fee $ <br />Municipal ScMer Connection <br />□ pvc 0(051 Q <br />MW( c SAC Charge <br />On Site Septic S> stem <br />Fee $ — <br />Water Well <br />Mechanical Equipment <br />Moving /Lifting Buildings <br />Fee S <br />Land Alteration (Excavation, <br />Grading. Filling, etc.) <br />Pec \ 30. <br />Fee $_______ <br />Fee S <br />Fire <br />Fee S <br />Fee S. <br />Sprinkler System (Fire) <br />Other: _________ <br />After-the-fact Investigation <br />Fee $ <br />Fee S <br />Fee S <br />Fee S <br />ACKNOW LEDGE.MENT <br />TW# IMfM <br />itt, iRcMMi« <br />k«. euMI! <br />•! MMb IMM <br />BIMM c4 aU titegiMiiiia. <br />iiB tw^MMi tlbmm. r%4 <br />p#tinl1 ifi •Mslli' in iwoibw %n MM vnBli. <br />M#Htt m 9MiA»4l, Miai MMi <br />mm PM mf in Mn n«li or nrMM <br />^ ^ ^ P9mm% Mnm mm <br />M MpotffiP to Mnlpt npr poMMan nl MMr OtW <br />m Inn. nWi m pnpilniign A1 wngi ppi kn <br />liMtl mtlnniii Mn Ml tttr orPni <br />TOTAL <br />•t WIKI <br />NmM I* to Ib <br />Sigiuture ut Apf^'wiiL'r <br />______^ ^ 1 J. <br />Stale Surcharge Fc* S <br />Total Amoun t Paul to City ftt i <br />This pcnnil ts noi valid until the progwr fe* ts paid <br />If Is appiuved by an aulhun/ed City Ofhrtft <br />Sifnalufv ofQty < ntld^ <br />raor mwit *■*^(•0 rto» >toatraf>fy Caii