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GENERAL PERMIT <br />CITY OF ORONO <br />Owner <br />Contras <br />City License two. <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FETE: ❑ NEW <br />Inside Plumbing ( # fixtures_) Fee <br />Water Meter (Siz Fre <br />Meter # <br />Remote # CIA 1 &_3 of <br />Municipal Water Connection <br />❑ ADDITION <br />S <br />Fee S <br />❑Copper Q <br />(Municipal Sewer Connection Fee <br />❑ Pvc ❑ cast Q <br />MWCC SAC Charge <br />ACKNOWLEDGEMENT <br />S <br />Fee S <br />The u ndersi/wed bete by admow ledW meeip t of " Um itsd <br />Permit. lnelndit &eCeptarlee of aU ape" information. <br />kmk condi11ions of requir mmSs written &bows. The <br />underd/ned and rounds and 009" under penalty of taw <br />that dd& permit is strle dy listited W scope to tlns work. <br />activity Of imPfeveansnt specified: that *As parmit does <br />not pant awe authority to do wart or activities requiring <br />sapants peewllt &plsovals: and that tib peewit doss not <br />pant authority to vitiate grey provision of any city <br />Ordinance or 3t&8e law. rule or regulation. AN work skail be <br />done in sbkt eowpbance with all City or&nanaw. bugdhW <br />codec and/or kedsh departsnsnt NOW&tions. and shall be <br />subl"t to 1 C111001, approval Of releetiow by the City. <br />Wb@B*ver so ordered. 11110 underdowd foram to correct <br />awy waft found to be in vlolation of the con&Uons of <br />" permit. <br />ddress <br />ddress <br />CITY PERMIT NO. 72391 <br />Date <br />State License No. <br />❑ REPAIR <br />On Site Septic System <br />Water Well <br />Mechanical Equipment <br />Moving/Lifting Buildings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Other: Fee S <br />After -the -fact Investigation <br />TOTAL <br />Fee S <br />State Surcharge: Fee S <br />Total Amount Paid to City Fee S 7S-. ab <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signaof City Official <br />Code: White Fike Copy Canary Insprctier's Copy rink Finance Copy Gold Applicant's Receipt <br />42) <br />