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GFNERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />Owner <br />Contractor _Z7 LC.CJT�� lx a� <br />City License No. 0aa 00 <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE <br />Inside Plumbing (#fixtures_) <br />Plater Meter (Size <br />Meter# _ <br />Remote #_ <br />CITY PERMIT NO. 7941 <br />Date L _ <br />Address <br />Address <br />❑ NEW ❑ ADDITION <br />Fee S <br />Fee S <br />Municipal Water Connection Fee S -- <br />❑Copper <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast Q <br />MWCC SAC Charge Fee S <br />� On Site Septic System <br />ACKNOWLEDGEMENT <br />Fee S—1—b- 60 <br />The undersigned hereby acknowledges rereipt of this limited <br />permit, Including acceptance of all special information, <br />terms, conditions or requiremenis written above. The <br />undersigned understands and agrees under penalty of law <br />that this permit is strictly Umitei in scope to the work, <br />activity or improvement specified; that this permit does <br />not grant any authority to do work or activities requiring <br />separate permit approvals; and that this permit does not <br />grant authority to violate any provision of any City <br />ordinance or State Isw, rule or regulation. All work shall be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulations, and shall be <br />subi-et to inspection, approval or rejection by the City. <br />Whenever to ordered, the undersigned agrees to correct <br />any work found to be in violation of the conditions of <br />this permit. <br />S1911a <br />/t7ure of Applicant <br />Code: White -File Copy Canary -Inspector's Copy <br />State License No. <br />REPAIR <br />ater Well Fee S <br />'Mechanical Equipment <br />Fee S <br />Moving /Lifting Buildings <br />Fev S <br />Land Alteration (Excavation, <br />Fee S <br />Grading, Filling, etc.) <br />Fire <br />Fee S <br />Sprinkler System (Fire) <br />Fee S <br />Other: <br />Fee S <br />er-the-fact Investigation Fee S <br />TOTAL <br />State Surcharge: Fee S ' <br />Total Amount Paid to City Fee S SQ' 5V <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signa re of City O ficial <br />Pink -Finance Copy Gold -Applicant's Receipt <br />