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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-735/7 <br />Owner _I C— <br />Contractor T),�4 <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />CITY PERMIT NO. 7899 <br />Date <br />Address Z)/C <br />Address <br />State License No. <br />PERMIT TYPE AND FEE: *NEW ❑ ADDITION ❑ REPAIR <br />Inside Plumbing 4fixtures_) <br />Water Meter (Size—) <br />Meter IF <br />Remote # <br />Fee S Water Well <br />Fee S--- -- Mechanical Equipment <br />Municipal Water Connection Fee S <br />❑Copp;r r <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast r_ <br />MWCC SAC Charge <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />oving /Lifting Buildings <br />Fee <br />Fee S <br />Fee S <br />_ ILand Alteration (Excavation, Fee S <br />Grading, Filling, etc.) <br />ire Fee S <br />rinkler System (Fire) <br />Fee S _ _ _ __ _ _ 10ther: <br />Fee 5 IAfter-the-fart Investigation <br />The undersigned hereby acknowledges receipt of this limited <br />Permit, including acceptance of all special information, <br />terns, conditions or requirements written above. The <br />undersigned understands and agrees under penalty of law <br />that this permit is strictly limited in wore to the work, <br />activity or improvement specified; that this permit does <br />not past 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 law, rule or regulation. Ali work shall be <br />done in strict compliance with ail City ordinances, building <br />codes and/or health department regulations, and shall be <br />suNet t to lnspecti is, approval or reJection by the City. <br />Whenever so ordered, the undersigned *pees to correct <br />any work found to be in .iolatinn of the conditions of <br />this permit. <br />Signature: of Applicant ; <br />TOTAL <br />Fee S <br />Fee S <br />Fee S <br />State Surcharge: Fee S SO <br />Total Amount Paid to City Fee S ' S� <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signat o City Official <br />Code White- Idle Copy (unary Inspector's Copy <br />Pink -Finance Copy Gold - Appticani'sReceipt <br />