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GENERAL PERMIT <br />CriT OF ORONO <br />cnY iTRMiT N9 S692 <br />PO BOX 66 <br />C RYSIAl. BAY. MINNLS01A 55323 <br />(612)47.3-7357 <br />Dale <br />Owner <br />Contracior <br />o:\€(_____________Aiklrcvi ^^05^ (’asra P-l- ^oi. <br />re\s -- <br />Cilv License No Ue^s. <br />iTl^ls, MtJ <br />Citv I <br />REMARKS AND SPECIAL CONDITIONS . = <br />PERMIT TYPE AND FEE <br />Inskic Plumbing («fixturei _ <br />Water Meter (Si/e ___) <br />Meter«__________ <br />NEW <br />Fee $ __ <br />Fee $ _ <br />Remou- <br />Municipal Water Connection <br />□ Copper □ ____ <br />Fee $ <br />Municipal Sewer Connection <br />□ PVC □ Cast □ <br />MWee SAC Charge <br />On Site Spetk Svstem <br />Fee $ <br />Fc'e S <br />Fee $ <br />ACK NOWI EDCiFMI NT <br />tv undrixym-a Vn+n «kni<«1nter« .4 ihr. lnriiCi) ty iniil. <br />ifximfinfi aiivpiaiKA' *4 all tnfotnMiioti iffm\ condiuitm <br />frvlutrt nrnlv untk-n uK*\t* Tltf unJtfsi^nitJ uikk-rsundi and ifrirt^ <br />umkf jvfidiiv «i< la3k lhai iTtis prrmHis sinuK bmiRxl inu»ih< work <br />•ilixtiv (t» impnnrmnH NfnifMxJ that ihi^ pt*rimi cltM“> r»ui i!t4ni anv <br />auth(«nf\ (oJo3k<irk m rttli>t«K*s ri^iunni^ si paiaa {vtmii .ippf.»\aK and <br />that tfiis r* rmn ckm4 gram auth<*ni\ in \itilak' ans ftit«i nf an\ ( ii\ <br />ofdmtfkt t*i SteU* lak rukr «a rrfnilaUon Ml %k<»rk 4iatl Kr Jnm in mm i <br />itutifiiainit’ kiiii all ( hx («nitnanrr^ Huiidtnfr rnd< ‘ and 01 hcalih <br />drpanimtw irfrakiimns ami shall hi' stih^'xi lo aiTHoxji cm <br />n^RMwin hx 'hr C ii\ \khrnrx<', m< rMtkrixJ. ihc undt'fmfmxi aimx's in <br />c*'*nxi anx vsnfk lound inhr tn vM4atMMit4 thr ttMiditinfis t4 this pi rmn <br />Si^ture of Appik:unt <br />REPAIR□ ADDinON <br />Water Well <br />Mechanical Eejuipment <br />Fireplace/WcHnJ Stove <br />Mrning/Dfting Building.s <br />IjtnJ Alteration (Excavation, <br />(trading. Filling, etc.) <br />Design Review <br />Fire_________________ <br />□ REMODEL <br />Fee $ <br />Fee S ^ <br />Fee $ <br />Fee $ <br />ii <br />Spnnkicr Systc/|AFirc) <br />Other:'Wtj <br />Alier-ihe-fact Investigation <br />Fee S_ _ _ _ <br />Fee $_ _ _ _ <br />Fee $ _ _ _ _ <br />Fee $ __ _ _ _ <br />Fee $ -1. 5^ <br />Fee $ _ _ _ _ <br />rOlAL <br />Slate Surcharge;Fee S SO <br />Total AnuiuiU Paid io Citv Fee S <br />This permit is not valkl until the proper fire tv paid hkI it is approved <br />bv an authi>n/td Citv Official <br />Si^naiyc of City <br />C «idr Nit hik’ I ik* C ofn ( a njir> lhs|ViT4 m \ C »in>i Piiiii r uuMur C «t(n Ck4l VnelK4Mlt S