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GENERAL PERMIT <br />CITY OF ORONO <br />P.O. BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />rr (612) 473-7357 <br />Owner T� 1 �C t 1� `� r <br />Contractor —_ <br />City License No.� <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE - <br />Inside Plumbing (arxturm <br />Water Nkter (Siae ) <br />Meter q <br />Remote # <br />Mutw;ll %Wier Conne0on <br />O Copper ❑ <br />Municipal Sewer Connwuon <br />O PVC ❑ Cast O <br />MWCC SAC Charge <br />On Site Spetic System <br />ACKNOWLEDGEMENT <br />❑ NEW <br />Fee $ <br />Fee S <br />Fee S <br />Fee S <br />Fee $ <br />Fee S <br />Pic undcr%Wrk-d hcn•h, ackrtowkdgt-% rtt'clpt of thl, hmrtcd px•rmrt. <br />irOu ing atuTtarke ,d all ,fwml tnftwmahm teem. ctmthuom to <br />nytiremt•nh "ntwo ahnc lbr untkmlintd utnk•r,Wxh and agreo <br />urrkr ptrrtalh of law that IhI, px•tmrt t, Irktl% lirnzwd in cops• to the "ork. <br />aen,in (if Impwownri nt .pttdkd. that thn puma dtit, ntM grant an, <br />authonh 14, du wtwk tx x1nldmt re4wnng rporatr pxrnut a pfwtnaK and <br />that thn prima d(%N rrt N grant amhtwin to t,t,lar am pm "t.xm titan ('It, <br />onhnawc tw %matt• la", nuke or n'p btNMl All Mork %hall ht• dime in strict <br />0- mpiiarke with all (1t% tmhn ncr%. building ttxk, anti tit htrhh <br />dquninm repulauom. and %hall hr %t*ijmt to unpi Lion. apprt„al tit <br />repabtm ht the ('It% %henr,er ,t, ordertd. the under,Igned agrt%, it, <br />corrmt an, "twit hitind to tx• in %14.1alttm ti IN- onxlnu,n, of thl, px•rnut <br />Signet • oif A %cant <br />CITY PERMIT NO S607 <br />Date Ll- 1� <br />/ r <br />Address <br />Addr(•ss <br />City <br />❑ ADDITION <br />Water Well <br />❑ REPAIR <br />Mechanical Equipment <br />Fireplace/%x)d Stove <br />Moving/Lifting Buildings <br />Land Alteration (Excavation, <br />Grading. Filling, etc.) <br />Design Review <br />Fire <br />Sprinkler System (Fire) <br />Other. <br />After -the -fact Ilncstigation <br />TOTAL <br />❑ REMODEL <br />Fee S _=-3-nZe> <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />State Surcharge: Fee S <br />Total Amount Paid to City Fee S <br />i_ If- /7C--C' <br />This permit is rkx valid until the proper fee is paid and it is approved <br />by an authorized City Official. <br />Signet of City OfTicia <br />(•txk Whuk Vile ('op% ( env, Impx•rtr,r" Cop% Pink I Ifulnte ('op% (it,ld ApplrcanfRitript <br />