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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />CITY PERMIT NO. 7694 <br />Date — /- 07 <br />Owner J OAJ / V E"OVU Address Y,030 b 4-NL 4[0kt� <br />Contractor W t 1>m e9e ins 1N L Address L�/NX, P.a-j,,CXc <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: W1 NEW ❑ ADDITION <br />Inside Plumbing (Mixtures_) Fee S <br />Water Meter (Size—) Fee S _ <br />Meter # <br />Remote Ai <br />Municipal Water Connection Fee S <br />[]Copper n <br />c+ U <br />Municipal Sewer Connection Fee S _3 -- <br />;ZPVC ❑ Cast n <br />MWCC SAC Charge Fee S <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />State License No. <br />❑ REPAIR <br />Water Well <br />Mechanical Equipment <br />Moving /Lifting Buildings <br />Land Alteration (Excavation <br />Grading, Filling, etc.) <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fire Fee S <br />Sprinkler System (Fire) Fee S� <br />Other: Fee S <br />Fee S /After -the -fact Investigation Fee S <br />The undersigned hereby acknowledips receipt of this limited <br />permit, including acceptance of all special information, <br />terms, conditions or reQutrements written above. The <br />undersigned understands and agrrecs under penalty of law <br />that this permit is strictly limited in scope to the work, <br />activity or Improvement specified; that thla permit does <br />not grant any authority to do work or activities repuirins <br />separate permit approvals; and that this permit does not <br />grant authority to violate any provision of any City <br />ordinance or State law, rule it regulation. All work shall be <br />done in strict compttance with all City ordinances, building <br />codes and/or health department regulations, and &hall be <br />subject to inspection, approval or rejection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in violation of the conditions of <br />this pennit. <br />Signatur of Applicant <br />TOTAL <br />State Surcharge: Fee $ Sa <br />Total Amount Paid to City Fee S <br />This permit 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-l:ilc Copy Canary Inspector's Copy Pink -Finance Copy Gold-AppUcant's Receipt <br />