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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---------------------------------------------------------- <br />r^intro.. <br />City License No_______________________________ <br />1.— - - — <br />Address <br />CITY PHRMIT NO. ” 6952 <br />Date jFj?. /?r" <br />REMARKS AND SPECIAL CONDITIONS <br />State License No__ <br />- 'vUj^ <br />l-7er<r<r T>j,yC LUt> Viat£ <br />^7o7^ <br />PERMIT TYPE AND FEE: <br />Inside Plumbing ( # fixtures. <br />Water Meter (Size____) <br />Meter #___________ <br />□ NEW □ ADDITION □ REPAIR <br />77 <br />)Fee $. <br />Fee $. <br />Remote # <br />Municipal Water Connection <br />n Copper n <br />Fee $. <br />Municipal Sewer Connection <br />□ PVC □ Cast Q <br />Fee $. <br />MWCC SAC Charge Fee $. <br />On Site Septic System <br />Water Well <br />Mechanical Equipment <br />Moving/Lifting Buildings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Other:. <br />After-the-fact Investigation <br />Fee S. <br />Fee <br />Fee S_ _ _ <br />Fee $_ _ _ <br />Fee S_ _ _ <br />Fee $ <br />Fee $ <br />ACKNOWLEDGEMENT <br />The undcniinecl hereby eckuowledges receipt of Uiie limited <br />permit, including acceptance of all vecial information, <br />terma, condittons or requlromente written above. The <br />underMgnad undaratanda and agreea under penalty of law <br />that thia permit ia atiletly limited In aeope to the work, <br />acUvity or improvement apecifled: that thia permit doea <br />not grant any authority to do work or aetivttiea requiring <br />aeparate permit approvaia: and that thia permit doea not <br />grant authority to violate any proviaion of any City <br />ordinance or State law, rule or regulation. All woric ahall be <br />done in atrict compliance with all City ordinancea, building <br />codea and/or health department rcguiatlona, and ahall be <br />BUbiect to Inapection, approval or rejection by the City. <br />Whenever ao ordered, the imdenigned agreea to correct <br />any work found to be in violation of the condltiona of <br />thia permit. <br />Sigm^^^f Applicant <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee $ <br />Fee S. <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signature of <br />Code: White-FUe Copy Canary - Inspector’s Copy Pink - I inance Copy Cold - Applicant’s Receipt