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general permit <br />CITY OF ORONO <br />P.O.BOX (,(, <br />cry stal BA> . .MIWKSOTA 553;j <br />(ft I :> 4 73-7.1,'! 7 <br />CITY PERMIT NO. 8028 <br />D-c_ <br />Owner.£-0/1 <br />Conlraclor iJn/l f~r\/c <br />--- A»l»lrcM_3(A^S' fj- <br />City Licenw No..iW <br />Rl MARK.S AND SPECIAL CONDITIONS <br />Atlila'st / <br />State License No.. <br />jVv 7 MAkc^ <br />PLRMITTYPLANDFin:i5^NEW □ addition □ repair <br />Inside Plumbing (#tiMiifvs__)1 ee S W ili>r W .11 <br />Water Meter (Si/e__) <br />Meter#1 ee S__ ___ <br />«aterncJI <br />.Mechanical E(|iiipinenl <br />Fee S <br />Fee S <br />Remote i Moving Lilting Buildings <br />Land Alteration (Fxcavalion. <br />Grading. Filline. etc 1 <br />Municipal Water Connection <br />(IJCopner PI <br />Ive $__________ <br />Fee S, <br />Fo.- S <br />Municipal Sewer Connection l ee S.lire <br />_ Pee SUP VC Dcast PI <br />MVVCCSACChjt^e Fee S <br />Sprinkler System (Fire)Fee S <br />On Si(e Seplii SysUin <br />Other: <br />Fee S <br />After-the-fact Investigation Fee S- <br />ACKNOWLEDGEMENT total <br />ZPoO <br />P'm4il» of u* <br />— VMM.MF irniiwa in trop# to Ui« « <br />— —^ or Anpro^mimt tpMiftrd; H im Ihu permilsLrrr; <br />cod., js^r <br />Stale Surcharge: <br />Total Amount Paid to City <br />Fee S. <br />• lo comcl <br />Signatu <br />Fee i S) ‘id <br />Signature of City Official <br />Oac,‘/^ _________ <br />coe.,1.... ,u.c„e, «.i-n„.«.c^ o.(e-Appu«,.-.