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GENERAL PERMIT <br />CITY OF ORONO <br />P.O. BOX 66 <br />CRYSTAL. BAY. MINNESOTA 553?3 <br />(6 '_) 473-7357 <br />Owner <br />Contractor _ <br />Citv License No. _—_(IC) f — <br />REMARKS AND SP CIAL CONDITIONS <br />II k <br />CITY PERMIT ND 8750 <br />Date <br />G 401JI) <br />Address `�- 7 r 5/ }� 5 t <br />Citv <br />11 <br />PERMIT TYPE AND FEE l� NEW ❑ ADD <br />Inside Plumbing (#fixtures —) Fee S ------ <br />Water Meter (Size t Fee $ _ <br />Meter n_ ----- <br />Remote # <br />Municipa? Water Connection <br />❑ Copper ❑ _ <br />Municipal Sewer Connection <br />❑ PVC ❑ Cast ❑ <br />MWCC SAC Charge <br />On Site Spetic Slstem <br />ACKNOWI FMFMI'NT <br />Fee S <br />Fee S <br />Fee S ---� <br />Fee S � <br />the •nw4•n,EnrJ hrn'h. a.I,rw,wkdp+ rKt M d ttm hmltrd pttmn. <br />,tll ytxist Inkxmauat. 1lrIm t.Y,fldilk" t■ <br />ywrrnw'ill, wnit,n .0-w the wxk,vprod un&442ak and &Pt <br />u,wler {>< u.,r.. � �.,H lh.n tlu. It nni! i• .ux�ly hm�a'd m rtitpr to the wtxk. <br />a.lnn•. n,l•�,"rnx•m .�`t•,Ifi„! Ih.11 chs !t,mn tkx.% floc glam am <br />moh-Ti.i, 1• A nlW101114 v lwA, Irrfnnapprtnak and <br />I he • Ih � • !. � m:! .!,.� n. ,r F• r em a ulhtxuy 1u �x,lalr am pft+vlslan dam (fry <br />"W1 !,1' 1,11, a•RulaOt>tl Atl uOA shall he duns in mmi <br />:: mhher„,�nh .111 t 1!, hwldilip "0” and/tx htahh <br />!, r,.rrin•,'nl ii l' il.tll: ,l:, ,I',d 1hail IX 11hwx1 I: 1..I a: II141. appft„al Of <br />way 1•, !111.1 �I� \k hq",t. <br />t `dnl Ihr pvH —ler%oned aIn <br />,:.1.. ,4n1,11"ilh,sprnml <br />slyn:atuft''.4 <br />Cade VAwe-- hk Corn <br />Cann' ImMttw i Cntr, <br />ITION O REPAIR <br />Water Well <br />Mechanical Equipment <br />Fireplace/Wood Stove <br />Moving/tAfting Buildings <br />land Alteration (Excavation. <br />Grading. Fillirg, etc.) <br />Design Review <br />Fire — — — <br />Sprinkler System (Fi!e) <br />Other. — <br />After -the -fact invest4stiion <br />TOTAL <br />State Surcharpr <br />Total Amount Paid to City <br />❑ REMODEL <br />Fee S <br />Fee S �— <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S - :2) <br />Fee S 9S SU <br />t 6-;2 <br />This permit is not valid until the propel fee is paid and it is approved <br />by an authorized City Official. <br />Signature of City OR"taal <br />Pfau— PiaMo� c!' <br />Gdll- Appk@Nr+< FANWM <br />