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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 �I PJrr �./ �� 7L;,Z%S Address <br />Contractor T)r_4 "l jr� Address <br />CITY PERMIT NO. <br />Date <br />11/5/ 7�,c <br />City License No. f� State License No. - <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: X-PEW ❑ ADDITION ❑ REPAIR <br />Inside Plumbing (►fixtures_) Fee S <br />Water Meter (Size _) <br />Meter# <br />Remote <br />Fee S <br />Municipal Water Connection Fee S <br />❑Copper <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast n <br />MWCC SAC Charge Fee S <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />ater Well <br />Mechanical Equipment <br />/Lifting Buildings <br />Land Alteration (Excavation, <br />Grading. Filling, etc.) <br />Fire <br />Sprinkler System (Fire) <br />then. <br />Fee 5 lAfter-the-fact Investigation <br />The undersigned hereby acknowledges receipt of this limited <br />permit. Including acceptance of all special information, <br />terms, conditions or requirements wditen 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 />separate 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. Ali work shall be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulations, and shall be <br />subject to Inspection, approval or rejection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in violeuon of the conditions of <br />this permit. <br />Signature of A licant <br />TOTAL <br />7773- <br />Fee 5 <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />e <br />State Surcharge: Fee $ <br />Total Amount Paid to City Fee S &01 5-0- <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signatuu of City Of cial <br />Code. White -File Copy Canary Inspector's Copy Pink- Finance <br />Gold -Applicant's Receipt <br />