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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. 8543 <br />Owner Address <br />Contractor lv��� a Address <br />City License No. _s,2 U L_� State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE <br />Inside Plumbing 0fixtures_) <br />Water Meter (Size—) <br />Meter# <br />Remote # <br />Municipal Water Connection <br />❑Copper <br />Municipal Sewer Connection <br />10 NEW ❑ ADDITION <br />Fee S <br />Fee S <br />❑ REPAIR <br />ater Well <br />Equipment <br />/Lifting Buildings <br />Fee S --_ ILand Alteration (Excavation, <br />Grading, Filling, etc.) <br />Fee S <br />Fee S <br />Fee S — <br />Fee S <br />Fee S ___ Pre Fee S <br />❑ PVC ❑ Cast n <br />MWCC SAC Charge Fee S <br />On Site Septic System Fee S=� <br />ACKNOWLEDGEMENT <br />The undersigned bereby acknowledges receipt of this limited <br />permit, Including acceptance of all special information, <br />terms, conditions or requirements written above. The <br />undersigned understands and agrees under penalty of law <br />that this permit is @atatiy limited In scope to the work, <br />actiiity or improvement speciMd: that lists permit does <br />not grunt 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 />ordloan" or State law, rule or regulation. AD work @bell be <br />done in strict comr.iiance with all City ordnaness, budding <br />codes and/or bealth department regulations. and .ball be <br />subject to Inspection, approval or rejection by the City. <br />Wbenever so ordered, the undersigned agrees to 4.oneet <br />any work found to be in violation of the conditions of <br />this parrnit. <br />Ap <br />Drinkler System (Fire) <br />they: _ <br />fter-the-fact Investigation <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee S <br />Fee S <br />Fee S 1 <br />Fee <br />Fee <br />s _"15 tol <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Code: White File Copy Canary - lnapector's Copy Pink -Finance Copy Geld - Applicant's Receipt <br />