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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 _!' �� ti r �; I e A-A— <br />Corawor '•� J 1 �� t t' ► �' <br />City License No. <br />REMARKS AN SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE * NEW <br />CITY PERMIT N? 8793 <br />Date <br />i'/ �,' <br />Address ^7 -�6 it Lill, 11L & i d- 1-19L/Ie <br />r <br />Addrevt --�-4 ' <br />City <br />❑ NDDITION ❑ REPAIR O REMODEL <br />Inside Plumbing rhtfixtures ) Fee $ --_—_ _.-- <br />Water Meter (Size ) Fee S _-- _-- <br />Meter # <br />Remote u <br />Municipal Water Connection Fee 5 <br />O Copper O <br />Municipal Sewer Connection Fee S <br />O PVC ❑ Cast O <br />MWCC SAC Charge <br />On Site Spetic System <br />ACKNOWLEDGEMENT <br />Fee S <br />Fee S _`--- <br />11%. untk•nrFrx•d hen•ht akkrw.wk•dge, rrtctrw A thn Imutrd Itin,n <br />intltahrrp atu•pt,uwf• .A all tpt•twl mkwmalron term.. c.•rxlnu,rr ,e <br />re4wrenient, wntk•n ahftc The unLiefagrxtl urakr.und% arwl aKtef- <br />urxlt•r rwitalth N law chat 1hr, ra'rmrl j, irk alt hnnx•d to volt to the work <br />a.u.nt -M rmptotenx•nt .ltYtfit-d Ilium the, rmmn df -t, mq Kram .uo <br />a.nhontl xrtk•wtxk fw.uUtrtw� n•ymnrµ vprrratt• ra•rnmapptutal•. and <br />that shit pt mlrl Jar rx r Kra m .nuhr wen to t u drt k am pros rwwa r an t ('n t <br />.ndfnarxr or Stair haw cult• or fetrulatwm •111 work shall tx• dfwn• nr Hrx t <br />.rwnpltante with all I it% onhnatxr Nukhrty .fxk, and of health <br />Jclwrtmeot n•pnkrmni, aMl hall tv •uhleti t, ursrtt wit appt tat <br />fimtlwm ht the t ilt N henrtrr w. ordered. the urxlompned alttrr t, <br />IYNn\'t ant wfwk loured i., he in twlautm A Itx•, ondmom fa tht, lx•rnw <br />Siprature of ArO"nt / <br />Cods. Whit F* Copv <br />Water %tell <br />Mechanical L•.yuipment <br />i•ireplace Wtxxl Stove <br />Fee S <br />Fee S <br />Fee S <br />Moving'Lifting Buildings Fee S <br />Land Alteration (Excavation. <br />Grading. Filling, etc) Fee S <br />Design Review Fee S <br />Fire �__- _-- _ _ _ Fee S — <br />Sprinkler S%%tem (Fire) Fee S <br />Other. —_-- _-- ___-- Fee S _ <br />After -the -fart Investigation Fee S <br />I OTAL <br />State Surcharge: Fee S It SGl <br />It rtal Amount I'hid to City Foe S <br />()," <br />This permit is not valid until tht• proper ke Is paid and it Is approved <br />by an authorised Citv Official <br />Signature of Cit} Ofrk:w <br />C –– <br />Canny- hurt toe's Copy pini(-- Finmix Copy Gold-- Applkmfs Rempt <br />