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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. <br />Date <br />8372 <br />Owner ^^ <br />rnntraptnr AddfCSS <br />City License No ------------- <br />Address <br />State License No.. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: <br />Inside Plumbing (^fixtures__) <br />Water Meter (Size—) <br />Meter#_____________ <br />NEW □ ADDITION □ REPAIR <br />Remote#. <br />Municipal Water Connection <br />DCopper n <br />Municipal Sewer Connection <br />□ PVC DCast □. <br />MWee SAC Charge <br />On Site Septic System <br />Fee S <br />Fpp s; <br />Water Well Fee <br />Mechanical Equipment Fee <br />Moving /Lifting Buildings Fee <br />Land Alteration (Excavation, Fee <br />Grading, Filling, etc.) <br />Fire __ Fee <br />Fpc 5: <br />Fee S <br />Fpp Is _________ <br />Sprinkler System (Fire) Fee <br />Other: . _ Fee <br />After-the-fact Investigation FeeFee S <br />30.00 <br />ACKNOWLEDGMENT <br />The undersifned hereby ecknowlediet receipt of this limited <br />permit. Including eccepUnce of all ^edal Information, <br />terms, condlUons or requiremenU written above. The <br />underlined understands and afrees under penalty of law <br />that this permit is strictly limited in scope to the work, <br />activity or improvement specified; that this permit does <br />not grant any authority to do work or activities requiting <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. All worii shall be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulations, and shall 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 permit <br />Signature of Applicant <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee $..SO <br />Fee ^ <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: Whitc-FiIc Copy Canary-Inspector’s Copy Pink-Finance Copy Gold-Applicant’s Receipt