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. <br /> GENERAL PERMIT �ITY PERMIT N� s s s� <br /> CIT'Y OF ORONO <br /> P.O.BOX 66 �� 5/5/87 <br /> CRYSTAL BAY,MINNFSOTA 55323 <br /> (612)473-7357 <br /> Uwner pon Lamont Address 3570 North Shore Drive <br /> Contractor Superior Contractors, Inc. p�d� 6121 42nd Ave No <br /> City License No. 133 Clty Minneapolis,' �MN 55422 <br /> REMARKS AND SPECIAL CONDITIONS <br /> 1 A.C. <br /> PERMTT TYPE AND FEE: O NEW ❑ ADDITION � REPAIR ❑ REMODEL <br /> Inside Plumbing(#fixtures ) Fee $ Water Well �'ee $ <br /> Water Meter(Size ) Fee $ Mechanical Equipment Fee $ 3 0 _0 0 <br /> Meter# Fireplace/Wood Stove Fee $ <br /> Remote# Moving/lifting Buildings Fee $ <br /> Municipal Water Connection Fee $ Land Alteration(Excavadon, - <br /> ❑ Copper ❑ Grading,Filling,etc.) Fee $ <br /> Design Review Fee $ <br /> Municipal Sewer Connection Fee $ <br /> Fire Fce $ <br /> ❑ PVC O Cast ❑ <br /> MWCC SAC Charge Fce $ Sprinkler System(Fire) Fee $ <br /> Other. Mail-in Fce $ 1.50 <br /> On Site Spetic System Fee $ <br /> After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMF,N'T TOTAL <br /> State Surcharge: Fee $ .5 0 <br /> The undersigned hereby acknowledges receipt of this limited permit, 3 2.0� <br /> including aooeptance of all spacial infortnstion, tertns, conditions or Total Amount Paid to City FPR $ <br /> requirements written above. The undersigned undersmnds and agrees <br /> under penalty of law that this permit is strictly limited in scope to the work, <br /> activity or improvement specified;that this permit dces not grant any <br /> authority to do work or activities requiring separate permit approvals;and <br /> that this permit dces notgrant authority to violate any provision of any City <br /> ordinance or State la�v,rule or regulation.All work shall be done in strict 'j'hjg��jt 1S llOt VS�1(1 I111U��1C pfO�r f�1S pS1Cl aII(I lt LS appl'OV� . <br /> mmpliance with all City oidinances, building codes and/or health b an authorized Ci O�C131. <br /> depaAment regulations,and shall be subject to inspecdon,approval or y ty <br /> rejection by the City.Whenever so ordered,the undersigned agrees to <br /> wrrect any work found to be in vialauon of the condidons of this permit. <br /> Signature of Applicant <br /> Signat of City Off cial <br /> Mail — in �J <br /> Code: White—File Copy Cartary—Inspector's Copy Pipk—Finance Copy Gold—Applicant's Receipt <br />