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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 4 /2n o C'*fo ra ZL" <br />Cattnkor 454-ei)ens ! 11 <br />City Limnse No. /.` <br />RFINARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE <br />bWk Plumbim Wfixtures ) <br />Water Meer (Size ) <br />Meter p <br />Remote a <br />Municipal Wake Correction <br />O Copper O <br />Mw icipd Sewer Correction <br />O PVC O Cast O <br />MWCC SAC Chaise <br />On Site Spetic System <br />ACKNOWLEDGEMENT <br />NEW <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />The utatkrsWted hereby akormakdpts reonpr d IN% limited Mmit. <br />ilkludwilt amnft tcc car ON special inkxrnatim. term., taxdAKN% or <br />rryurentertea wtiske apse nit tatder%*wd uralerwrxk and apm <br />under prnaky d law drat dtis permits imily limited in nnpr to for iAmli. <br />ulkity 4r toW „em m 4xviliied that this permit dtx% mA prant any <br />audxxily todo wtrrlt tw aysitia tegtar fq wparaar permit appnnak: and <br />Rini tkispermitdims nnl Er'm aullarxity to syahtr any pnriwm orany Cny <br />ordinam cr State law. ruk tx repulatmi m All sstxk Jell he Jortr in vrct <br />annpw"M with aI Cite tMdinamm hukbng udn and'(x health <br />tkpartmem rquiationK and %W be %utWo to tnspea m. approsal or <br />re)Mron M the City. wherw%cr %, extend. the wakrvltned apm to <br />ctoom am ssork knartd Rohe m the civuloitw%dIhis permit <br />Signature of A^pp-ii-a- nt / <br />CITY PERMIT ND 8635 <br />Date �- ��s -X <br />Address AA . <br />Address60,24,0 t � <br />City <br />O ADDMON O REPAIR <br />Water Well <br />Mechanical Equipment <br />Fireplace/Wood Stove <br />Moving/Lifting Buildings <br />Band Aheration (Excavation. <br />Grading, Filling, etc.) <br />Design Review <br />Fire <br />Sprinkler System (Fire) <br />Other. <br />After -the -fact Investigation <br />TOTAL <br />State Surcharge: <br />ToW Ankwnt Paid to Cloy <br />O REMODEL <br />Fee S 0' <br />Fee S <br />Fee S <br />Foe S <br />Fee S <br />Fee S <br />Fee S _ <br />Fee S <br />Fee S <br />Fee S <br />Fee $ 'so <br />Fee $..� .SD <br />This permit is not valid until the proper, fir is paid and it is approved <br />by an authorized City Olficwl. <br />Signature d City ' I <br />Ctxk: Wfuk. FileCt" Canary Ins(ttiyty'. Clvpy fink Finance Cttpy GoW ArK4%,ani's Receipt <br />