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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 PERMIT NO.8437 <br />Date <br />Owner <br />Contra»J <br />City License No. <br />ic.t n.'h.vj ^^alA'AinrA <br />fen pTti^ <br />Address ICS^• <br />Address 7^^ ^ ^ ^ <br />State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />'p>^>cl p^/'/hJ^'SOS <br />PERMIT TYPE AND FEE: J&^^EW □ ADDITION □ REPAIR <br />Inside Plumbing (jltixtures__) <br />Water Meter <Si/e__i <br />Meter#___________ <br />Fee S <br />Fee S <br />Remote # <br />Municipal Water Connection <br />Dcopper Q------ <br />Fee $3?.o<^ <br />Municipal Sewer Connection <br />□ pV( DCast Q <br />MWeX' SAC C harne <br />On Site Septic System <br />Fee $3CL oO <br />Fee S <br />Fee $. <br />Water Well <br />Mechanical Equipment <br />Moving ''Lifting Buildings <br />Land Alteration (Excavation, <br />Grading. Filling, etc.) <br />I ire <br />Sprinkler System (Firei <br />Other; _____________ <br />After-the-fact Investigation <br />Fee S <br />Fee $ <br />Fee $ <br />Fee $. <br />Fee S <br />Fee S <br />Fee S <br />Fee $ <br />ACKNOWLEDGEMENT <br />TIm uAfltfiliiitd lim^ acknowititeN ncclpi ol ilUt Umii04 <br />teimil, incliitec aeMplMie* «l aD tolofiBa#Mi, <br />Mrjma. e«a4lli0aa or io^oImhmiIb wiittMi alNivc, TIm <br />iMi4ofiifM4 oniantoiidB mm4 atrni oMlat p—aity of low <br />ttot 0IU poiVRit it taiM io BBopo to wadi« <br />icfivlfir or ipiprov«fii«fii ^octflnl; iuii fliit ponoit 4am <br />■ <j| ifipit my oupioriiy to 4q worit or octi«iliM roooirlog <br />iPfifolo pvrmif «ppro%«|o; iM iMt Mi ponoit Mm mot <br />iNPt iutlionty to %iotolt tm9 pro«i#oo of apy dtp <br />orMiwutr Of tvtofe low, rul# or ropaloHoo. Afl woiii MA bo <br />iaPt In firw ( wttti Hi City orfteoocoo. bniiitiog <br />f##M oM/<»f ip*oMb Mportfliowt lopiHo'ioMi. owi Mfl bo <br />•MUoct to bMpoepow, «tPro«ai or wii^tloA by M Oiy. <br />Wboiitrvoff i<* rifMloC M* ooioffBlgiit# jprtii lo rnawrl <br />any wrH% f(*un4 b» bo bi Hobiboo of M eoo#^TH of <br />Pili pcpfftlt. <br />Sign^^re^if Apj^Iicbnl <br />TOTAL <br />State Surcharge Fee S /. <br />Total Amounl Paid to CiD'. /r 7T <br />This permit is not valid until the proper fee b paid and <br />it is approved by an authurued City OfTtvial. <br />Sig^ture of City Official ^----.. <br />r, <br />Co* »lM«i fOrCa^rsMi Mwwcari^