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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX (><, <br />CRYSTAL BAY. MINNESOTA 55S:3 <br />(6I:h73-7.157 <br />CITY PERMIT NO. 8093 <br />D... <br />A,.p.u. <br />t<v/i______Addg.« <br />City License No._______/O ^ ^ • <br />^ -----------------------State License No.___________ <br />Owner___ <br />Contractor <br />RFMARKS AND SPLCIAL CONDITIONS <br />PERMIT TYPE AND FKfi: <br />Inside Plumbing (#nxlua*s __| <br />>i:W □ ADDITION <br />Water Meter (Si/e__) <br />Meter# _________ <br />Fee S, <br />Fee S. <br />Remote <br />Municipal Water C onnection <br />□copper n <br />Fee S. <br />Municipal Sewer Connection <br />□ Pvr Dcs, □_ <br />MWee SAC Charge <br />On Site Septic System <br />Fee S_________ <br />Fee $. <br />Fee S_ <br />□ repair <br />Water Well <br />Mechanical Equipment <br />Moving / Lifting Buildings <br />Land Alteration (Excavation. <br />CJrading, Filling, etc.) <br />Fee <br />Fee S__________ <br />Fee %__________ <br />Fee S«._________ <br />Sprinkler System (Fire) <br />Other; ___________ <br />Afler-the-fact Investigation <br />Fee S. <br />Fee S_ <br />. Fee S, <br />Fee <br />ACKNOWLEDGEMENT <br />r%9 bm^ I—H ____ <br />* “ - r praaitv o( Um <br />•TTlIrSt br di« at».________________ f fiKUom by I <br />Signatua*'^*<^Applicjmt <br />TOTAL <br />State Suaharge: <br />Total Amount Paid to City <br />Fee S. <br />Fee SY> <br />Signaiu^of Gly Official^ <br />y/v/x: