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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX fib <br />CRYSTAL BAY, MINNESOTA 55323 <br />((i 1 `_') 473-7357 <br />CITY PERMIT NO. 8302 <br />Date « u� <br />Owner �� � ✓� Address ) "�/ �Prf �le� <br />Contractor tJ �54 ) a t'L. V 12 I Address � r r " <br />Citv License No. (0L-1 State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE: AND FFI:: <br />Inside Plumbing Ofixtures_) <br />WaterMeter (Size_) <br />deter # <br />Remote 1 <br />❑ NF:W ❑ ADDITION <br />Fee S <br />Fee S <br />Municipal Water Connection-- <br />❑Ctrpper n <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast r1 <br />MWC'C SAC Charge Fee S _ <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />❑ REPAIR <br />Water Well <br />!Mechanical Equipment <br />Moving /Lifting Buildings <br />Land Alteration (Excavation <br />Grading. Filling. etc.) <br />Fire <br />Sprinkler System (Fire) <br />her: <br />Fee S <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fee S lAfter-the-fart Investigation Fee S <br />The undersigned hereby acknowledges receipt of this limited <br />permit, including acceptance of all special information, <br />terms, cunditions 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 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. All work shall be <br />dune In strict compliance with all City ordinances, building <br />codes and/or health department regulaUons, and shall be <br />subject to inspection, approval or rejection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />•ny work found to be in violation of the conditions of <br />this p•rrmt. <br />Signature of Appliran�� , <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to Citq <br />1 Fee S ' S?i I <br />Fee S) • �Z' I <br />This permit is not valid until the proper fee is paid and I <br />it is approved by an authorized City Official. <br />Signature of City Official <br />i <br />Code Mite I ile (bp) Canar) Inspector's (bpi Pink I inance ('op) Gold Applicant's Receipt <br />