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GENERAL PERMIT <br />CITY OF ORONO <br />CITY PERMIT NO. <br />P.O.BOX 66 <br />CRYSTAL BAY. MINNESOTA 55323 <br />(612)473-7357 <br />7988 <br />Date /«/y 1 <br />Owner ■-r.tAA 03sj4c>rl <br />Contractor <br />City License No—^PPiif^.4— <br />Address ////■■g //, A^L <br />Address CO . g? <br />State License No.---------------------------------- <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: NEW □ ADDITION □ REPAIR <br />Inside Plumbing (#nxtua-s—) <br />Water Meter (Si/.e----) <br />Meter# _______ <br />Remote #. <br />Municipal Water Connection <br />OCopper Q------ <br />Municipal Sewer Connection <br />□ PVC □ Cast Q. <br />MWee SAC Charge <br />On Site Septic System <br />Fff ^Water Well <br />dcchanical Equipment <br />Moving /Lifting Buildings Fee <br />Land Alteration (Excavation, Fee <br />Grading. Filling, etc.) <br />Fire----------------------------------------- <br />Fee ^ <br />Fee « <br />Fee S--------------- <br />Fee 5 <br />Sprinkler System (Fire) Fet* <br />nthiT- Fee <br />Fee S After-thc-fact Investigation Fee <br />'Xo.oo <br />ACKNOWLEDGEMENT <br />The und«niitied hewby •cknemUdgei receipt of ihU Umiud <br />poimlU Includim iccopunc* of aU ipacial informaU^, <br />teRDt« coiiAtiofia or raguiiemtou wdiun abovt. The <br />undenisntd undanUndi and afraw undar panaJiy of Uw <br />that thia pannll la atilctlir Uintud in acopa lo the work, <br />acUvity or Iniprovamant ipaclflad; that Ihla parnilt doaa <br />not ixmnt any authortty to do work or activiUaa raquiiing <br />■eparata parmlt appro%*ala; and that thla parmlt doaa not <br />grant authoiity to violate any provition of any City <br />ordinaAca or SUte Uw. ruU or raguUtion. AQ work ahaU b# <br />dona In atrict compUanca with all City ordinancas. building <br />codaa and/or haalth dapartmant raguUtlona. and ahaU ba <br />aubiact to InapacUon. approval or ralactlon by tha Oty. <br />Whanavar ao ordarad, tha undaraignad agraaa to corract <br />any work found to ba In %ioUtlon of tha conditloni of <br />thia pvnnit <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee $----— <br />Fee %3>(S'^0 <br />This pennit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signature of City Official <br />Code: White-nie Copy C»n«iy-ln*pector'» Copy Pink-Flnwtce Copy Cold-Appllcwfi Receipt