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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(Al2) 473-7357 <br />Owner <br />Contras <br />City Li <br />REMARKS AND SPECIAL CONDITIONS <br />CITY PERMIT NO. 8177 <br />Date X <br />Address <br />Address <br />State License No. <br />PERMIT TYPE AND FEE: NEW ❑ ADDITION ❑ REPAIR <br />Inside Plumbing (#fixtures_) Fee S IWater Well Fee S <br />Water Meter (Size—) <br />Meter # <br />Remote <br />Fee S <br />Municipal Water Connection Fee S <br />❑Copper rl <br />Municipal Sewer Connection Fee S _ <br />❑ PVC ❑ Cast Q__ <br />MWCC SAC Charge Fee $ <br />On Site Septic System Fee S <br />ACKNOWLEDGEMENT <br />The underslpted hereby admowisddss receipt of this limited <br />permit, indudktg acceptance f all special Information. <br />terms. conditions at requirements written above. The <br />usdenis"d understands and apses under penalty of law <br />that thls permit to strietin Waited in scope to the work. <br />activity of improvement specified; that WAS permit does <br />not pant any authority to do work or activities requiring <br />.atMW permit approvals; and that thls permit does not <br />pot suWad" to violate any provision of any City <br />egftnanee or •fete law. rule or regulation. Ali work shall be <br />dew In etdet eempllanoe with all City ordinances, building <br />Bodes and/or hssith department regulations. and sball be <br />sabint to " s , tiont, approval at relection by the City. <br />whenever so ordered, the undersigned agrees to cornet <br />any work found to be in violation of the conditions of <br />SiBna re of Applicant <br />aw".. <br />Equipment <br />/Lifting Buildings <br />Fee S <br />Fee S <br />Land Alteration (Excavation, Fee S <br />Grading, Filling, etc.) <br />ire Fee S <br />rinkler System (Fire) <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 <br />Fee <br />Fee <br />s <br />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/f City <br />Code: WhIM--File Copy Canary Inpactor's Copy Pink -F'inatx;e Copy <br />Grid -Applicant's RaceW <br />