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GENERAL PERMIT <br />CITY OF ORONO <br />1t)S. I AI BAN. %IINNI.SOTA 55323 <br />16121473.7357 <br />Owner ND/1 L <br />contractor <br />City License No. <br />REMARKS AND SPECIAL ONDITIONS <br /><�ry-� t c, air, - <br />CITY PERMIT NO. 8514 <br />Date <br />Address ��? 7 I -J rc GLC <br />Address <br />State LiLense No. <br />4-11— <br />PERMIT <br />.a'-11 <br />PERMIT TYPE AND FEE: ❑ NFW ❑ ADDITION ❑ REPAIR <br />Inside Plumbing (riftxtures_) Fee S <br />Water Well <br />Fee <br />S <br />Water Meter (Site_) Fee c — <br />— <br />Mechanical Equipment <br />Fee <br />S <br />Meter# <br />Moving !Lifting Buildings <br />Fee <br />S <br />Remote 1 <br />Fee S <br />Land Alteration ( Excavation. <br />Fee <br />S <br />Municipal Water Connection __ __ <br />Grading. Filling. ctc.) <br />❑(opper n <br />Municipal Sewer Connection <br />❑ PVC ❑ Cast <br />MWCC SAC Charge <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />Fee S _- - - <br />Fire Fee S <br />❑__ Sprinkler System (Fire) Fee S <br />Fee S ther. <br />Fee S <br />Fee S After•the-fart Investigation Fee S <br />Th• unJ.ruan•d hereby s, i--- fl-iVt u1 this limited <br />p•rmtt. Ln-w4lna s«ePtsn<e nl W W-1-1 informsUnn, <br />terms, <ond UUm .a n.twnmerrts wditen Ib..ee. rh• <br />und•nten•d und•nt—ds cad IaRer under p.nalty at Vsc <br />thst MU p•rmtt n Itn<Uy hrntted to scop. to Ne .art. <br />K Uyi IT .a Impru.•ment syecifwd. )het UUI Wrestt days <br />n.a pvtt Y.s eu4unty to da rvt as "U"Ues requifts <br />rVarsle p.mUt sporu.sls. Ind tfst stay Innis days pot <br />arsnt suthc.nty U. spot" J.. <br />say pr-tsi..n of any City <br />.adinsn<• ar ♦tst• Is., rvl• nr r•pJ.U.n AU KWh dtsa h• <br />d.me in nn. t <um Pll"— rUs <br />h sU ( m ndAnncys, bulldms <br />.odes sad ..r h<Jth d.PUtm•nt t•tulsbnns, Ino IhsU M <br />vubn<t to 1A—U—. Ippn.•J .a nw<Uan by th• llh <br />Nh•nr. er w ..rd•re 4. Ute—1—ten•d seises b. .omct <br />1—nd - tr .n .UJAU..n ..f the <und1U..n. .J <br />Ili.. p•rrnll. <br />Sipnaturr til Apph-int <br />TOTAL <br />State Surcharge: Fee S <br />Total Amount Paid to City Fee S y7�� <br />l his permit is not yahtl until the proper fee is paid and <br />it is approved by an authorised City Official. <br />Signature yf City <br />C1 e4c-�,, (H> t ) <br />code: %'hire - I de copy caner) - Inspector's copy — Pink - I inaace Copy _ Gdd-APPkrti RtlodOt <br />