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GENERAL PERMIT <br />CITY OF ORON U <br />P.O.BOX 66 <br />CRYSTAL BAY, MIr4NESOTA 55323 <br />(612) 473-7357 <br />CITY PERMIT NO. 8347, I <br />Date b- - �U —O (0 <br />Owner 9 Address ��/ Di C_0C,4CQ �Q <br />kj <br />ContractorAddress tt,/ ax 7S <br />City License No. State License No. )go ,41G'?/ <br />r <br />REMARKS AND SPECIAL CONDITIONS <br />r <br />PERMIT TYPE AND FEE <br />Inside Plumbing (#fixtures_) <br />Water Meter (Size_) <br />Meter# <br />Remote # <br />NEW <br />Fee S <br />21j2=e7.S u Sp <br />ElADDITION ElRF,PAIR �� <br />ate. Well <br />Fee S — ____ -___ IMechanical Equipment <br />Municipal Water Connection <br />❑ Copper n <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast ❑__ <br />MWCC SACCharge Fee S <br />On Site Septic System Fee S <br />ACKNOWLEDGEMENT <br />The undersigned hereby acknowledges receipt of this limited <br />permit, Including acceptance of all special information, <br />terms, conditions or requirements written above. The <br />underdgned understands and agrees under penalty of law <br />that this permit is strictly limited in scope to the work, <br />activity or improvement specifled; that this permit does <br />not grant any authority to do work or activities requiring <br />separate per -nit approvals; and that this permit does not <br />grant authority to violate any pr.Asion o/ any City <br />ordinance or State law, rule or regulation. All worst shall be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulations, and shall be <br />wrbk•cI to Inrpactio.i, approval or re)ection ty the City. <br />Wher ver so ordered, the undersigned agues to correct <br />a.ty work found to be in violation of the conditions of <br />this permit. <br />Signature of Applicant <br />c' <br />oving /Lifting Buildings <br />Land Alteration (L,.caution, <br />Grading, Filling, etc.) <br />Fire <br />nkler System (Fire) <br />her: <br />fter-the-fact Investigation <br />TOTAL <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee <br />$ <br />ree <br />S_ <br />Fee <br />S <br />Fee <br />S <br />Stale Surcharge: Fee S <br />Total Amount Paid to City Fee <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signatuje of Cit} Offit,al <br />1— -4.1IV0 <br />f. <br />Code White - File Copy Canary --Inspector's Copy Pink -Finance Copv V Gold -Applicant's Receipt <br />