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GENERAL PERMIT <br />CITY OF ORONO <br />CITY PERMIT NO.7748 <br />P.O.BOX 66 <br />CRYSTAL BAY. MINNESOTA 55323 <br />612)475-7357 <br />Date <br />Owner____ <br />Contractor« <br />City License No._______________ <br />Address <br />Address <br />:>CA'U.. <br />/.r Mvy -7- . <br />State License No. <br />RL.MARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AN DELE: <br />Inside Plumbing (jlit'ixtures__) <br />□ ADDITION □ REPAIR <br />Water Meter (Si/e <br />Meter# ___ <br />) <br />I ee S <br />l*ee S <br />Remote # <br />Municipal Water Connection <br />CDCopper n <br />Lee S <br />Municipal Sewer Connection <br />□ PVC □ Cast Q <br />MWCC SAC Charge <br />On Site Septic System <br />Lee S — <br />Lee S_____ <br />Fee S_____ <br />Water Well <br />Mechanical E(|uipment <br />Moving / Lilting Buildings <br />Fee S JDm <br />Land Alteration (Excavation. <br />Grading. Filling, etc.) <br />Fee $ <br />Fee $ <br />Fee S <br />Fire <br />Sprinkler System (Fire! <br />Other;______________ <br />After-the-fact Investigation <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />ACKNOWLEDGEMENT <br />The undersifned hereby acknowledges receipt of this limited <br />permit. Including acceptance of all special Information, <br />terms, conditions or requirements written above. The <br />undersigned understands and agrees under penalty of law <br />that this permit Is strictly limited in scope to the work, <br />activity or improvement specified; that this permit dues <br />not grant 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. All work shall be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulatioru. and shaU be <br />subiect to inspection, approval or relection by the City. <br />Whenev*er so ordered, the undersigned agrees to correct <br />any work found to be in violation of the conditions of <br />thu permit. <br />Signature of Applicant <br />TOTAL <br />State Surcharge:Fee S SO <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 autliori/-ed City Official. <br />c <br />Sigpdfu)|6 of City Official - <br />('ode N^hitc I ilc Cop)Canar>' Inspector’s Cop>Pink I in ante C'op>(fold Applicant’s Recapt