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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />II)) (612) 4,,73f-7357 <br />P_e_Q � Owner V�� icLJ <br />Contractor <br />City License No. 1 <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE <br />Inside Plumbing (#fixtures_) <br />Water Meter (Size—) <br />Meter# <br />Remote # <br />CITY PERMIT NO. 8497 <br />w..• � • :is <br />Address f h Q <br />Address h� � � . � '(� .41n (A <br />State License No. <br />0 <br />- (� �� I z s�- /00c3hofl -ne <br />NEW ❑ ADDITION ❑ REPAIR <br />Fee S lWater Well <br />Fee 5 IMechanical Equipment <br />Municipal Water Connection Fee S _ <br />[]Copper ❑ <br />Municipal Sewer Connection Fee S _ <br />❑ PVC ❑ Cast r_ <br />MWCC SAC Charge Fee $ _ <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />Fee S <br />The undersigned hereby acknowledges recelpt of this limited <br />Permit. including acceptance of all special Information, <br />terms, conditions or requirement& written above. The <br />undersigned understands and agrees under penalty of law <br />that this permit is strictly limited In scope to the work, <br />activity or improvement specified: that this permit does <br />not grant any authority to do work or activities requiring <br />eePar* <br />it permit approvals. and that this permit does not <br />grant authority to violate any provision of any City <br />ordinance or State law, rule or regulation. All work sbW be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulations, and shall be <br />subject to L.rpection, approval or rejection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in violation of the conditions of <br />this permit. <br />C' ., a o� pl ca <br />�+ Code.White-FilcCopy Canary -Inspector's Copy <br />ng /Lifting Buildings <br />Cuje_}MN D2d / N S <br />Fee $ <br />Fee $ <br />Fee $ <br />Land Alteration (Excavation, <br />Fee <br />$ <br />Grading, Filling, etc.) <br />Fire <br />Fee <br />$ <br />Sprinkler System Fire) <br />Fee <br />$ <br />Dther: <br />_ Fee <br />e <br />$ ,�� <br />After -the -fact Investigation <br />Fee <br />$ <br />TOTAL <br />State Surcharge: Fee $ <br />Total Amount Paid to City Fee $/w <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signature,pf City Official <br />Pink -Finance Copy <br />--Applicant's Receipt <br />