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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 AlAjtX>^S)C/------------ <br />Contractor ^ ^----CL&---------- <br />CITY PERMIT NO. 8140 <br />-<^5"Date, <br />Address. <br />Address <br />^ OO . <br />City License No..State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />____________A£>r> s.-C. <br />______________ eTCfSn^c. ______________ <br />PERMIT TYPE AND FEE; □ NEW ^ADDITION □ REPAIR <br />Inside Plumbing (#fixtures ----) <br />Water Meter (Size <br />Meter#___ <br />Remote #. <br />I Municipal Water Connection <br />QCopper rn <br />Fee S <br />Fee S <br />Fee S <br />Municipal Sewer Connection <br />□ pVC DCast Q <br />MWCC SAC Charge <br />On Site Septic System <br />Fee S <br />Water Well <br />Mechanical Equipment <br />Moving /Lifting Buildings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Fire <br />Fee $ <br />Fee S *SO <br />Sprinkler System (Fire) <br />Other:_____________ <br />After-the-fact Investigation <br />Fee $. <br />Fee $. <br />Fee $. <br />Fee $. <br />Fee $. <br />Fee $. <br />Fee $ <br />Fee $. <br />ACKNOWLEDGEMENT <br />The undenlCBed u«t?bv ■cknowtodg*! rtcalpt of thU UiniUd <br />pemit. including accapurc* of all npadal informaUon. <br />tcimt, condltfon* or raqulretncnU wilttan above. The <br />underlined undeietanda and agreea under oenalty of law <br />that thU permit ia strictly limited in econe to the work, <br />activity or improvement specified; that tuis permit does <br />not grant any authority to do work or activities requiring <br />separate permit approvals; and that this permit does not <br />grant authority to violate any provision of any City <br />ordinance or SUU law. rule or regulation. AU work shall be <br />done in strict compliance with ail City ordinances, building <br />codes and/or health department regulations, and shall be <br />subiect to inspection, approval or reiection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in violation of tits conditions of <br />this permit. <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee $. <br />Fee $. <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Code Mklilte - nie Copy Canary - Inipector't Copy Wnk-Finance Copy Cold-AppUcaat’s Receipt