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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSI %L BAY, MINNESOTA 55323 <br />612) 473-7357 <br />CITY PERMIT NO. 7214, <br />Date a - "�_q- 83 <br />Owner IMK li-a-z-KE 1dress ' y3 ! <br />Contractor SuLL% V w.ti S SERtI►CG Address <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: <br />1� NEW ❑ ADDITION <br />Inside Plumbing ( #;;fiixtures <br />) Fee S <br />Water Meter (Size1�) <br />Fee S-75 <br />Meter # 32.-7 46 <br />60 <br />Remote # O 3 A 1 `A <br />R 9 <br />ter Ccnnection <br />Milt)Z� <br />0 <br />_ <br />Fee S0 <br />per n <br />Municipal Sewer Connection <br />Fee S <br />❑ PVC. ❑ Cast <br />MWCC SAC Charge Fee S <br />AC'KNu►vLEDGEMENT <br />The undersigned hereby ackoowledges rec�•ipt of this limited <br />Permit. including acceptance of all special information. <br />terms, cunditionq or requirements 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 acpcldes requiring <br />separate permit approvals. and that this Permit does not <br />grant authority to violate any prwIsion of any CIts <br />urdlnance or State law, rule or regulation. All work shell be <br />dune In strict compilance with all City ordinances, building <br />codes and/or health department regulations, and shall be <br />subleet to inspection, approval or relocbon by the city. <br />Whenever su ordered, the undersigned agrees to correct <br />any work found to 1w in violation of the conditions of <br />this permit <br />Si attire of Applicant <br />State License No. <br />❑ REPAIR <br />On Site Septic System <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 />$- <br />Fee <br />S <br />Other: Fee S _ <br />After -the -fact Investigation Fee S <br />TOTAL <br />State Surcharge: Fee S —_5 <br />5a <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 />• �' <br />Code: White -File Copy Canary - Inspecitors Copy <br />Pink -Finance Copy Gold --Applicant's keceiF. <br />