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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />12) 473-7357 <br />OwnerU e <br />Contractor <br />City License No.� <br />REMARKS AND SPECIAL CONDITIONS <br />11r1A i/ <br />PERMIT TYPE AND FEE <br />Inside Plumbing (#fixtures_) <br />Water Meter (Size—) <br />Meter# <br />Remote #� <br />CITY PERMIT NO. 7958 <br />Address <br />• ■[�-G� _ <br />State License No. <br />❑ NEW ❑ ADDITION ❑ REPAIR <br />Fee S lWater Well <br />Fee S Mechanical Equiprnen' <br />Municipal Water Connection Fee S <br />❑Copper n <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑Cast n <br />MWCC SAC Charge <br />On Slit. Septic System <br />ACKNOWLEDGEMENT <br />Fee S <br />Fee S <br />The undersigned hereby acknowledges receipt of this limited <br />permit, "icluding acceptance of all special information, <br />terms, conditior or requirements written above. The <br />undersigned -mderstands 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 duos <br />not grant any w.thority to do work or activities requiring <br />separate permit approvals; and that this permit does not <br />grant au hority to violate any provision of my City <br />ordinance or State law, rule or regulation. All work shall be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulations, and shall be <br />subiect to inspection, approval or refection by the City. <br />Whenever su <udered, the undersigned agrees to correct <br />any work found to be in �Ioladon of the conditions of <br />this permit <br />Siknatury of Applicant <br />/Lifting Buildings <br />nd Alteration (Excavation, <br />Grading, Filling, etc.) <br />System (Fire) <br />TOTAL <br />Fee S — <br />Fee S _ <br />Fee $_ <br />Fee S_. <br />Fee $_ <br />Fee S_ <br />Fee S <br />Investigation Fee S <br />' 5-0State Surcharge: Fee S --�77 <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 />Si of City Om <br />e while vac c , pti CRAW —Mary Copy rok—ftfigm Copy Gold—Appikant'r ROMP <br />