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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />Owner <br />Contra, <br />City Li <br />REMARKS AND SPECIAL CON <br />CITY PERMIT NO. 7960 <br />Date <br />� - - MgMIM10, <br />PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION <br />Inside Plumbing (futures_) Fee S <br />Water Meter (Size__) Fee S <br />Meter# <br />Remote <br />Municipal Water Connecttion Fee S <br />❑ Copper n <br />Municipal Sewer Connection Fee S - <br />❑ PVC ❑ Cast n <br />MWCC SAC Charge Fee S - _ <br />On Site Septic System Fee S �S " <br />ACKNOWLEDGEMENT <br />The undersigned hereby acknowledges receipt of this limited <br />permit, Including acceptance of all special information. <br />terms, conditions or requirements written above. The <br />undersigned understand@ 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 />separate permit approvals: and that this permit don not <br />grant authority to violate any provision of any City <br />ordinance or State law, rule or regulation. AO work shell be <br />done in strict compliance with W City ordinances, building <br />codes and/or health dope ant regulations, and shall be <br />subject to inspection, approval or resection by the City. <br />Whenever to ordered, the undersigned apes* to correct <br />any work found to bu In violation of the conditions of <br />this permit. <br />Signature of Applicant <br />State License No. <br />❑ REPAIR <br />Water Well <br />Mechanical Equipment <br />Moving /Lifting Buildings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />re Fee S <br />rinkler S(Fire) Fee S ys m _ <br />her. ee S <br />ter-the-fL t Investigation Fee S <br />TOTAL <br />State Surcharge: Fee S ' <br />Total Amount Paid to City 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 />Code: White - file Copy Canary -Inspector's Copy Pink -Finance Copy Gold -Apr' -tt's Receipt <br />