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Owner <br />GENERAL PERMIT <br />CITY OF ORONO <br />P.O. BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 173-7357 <br />Ryerse/Thompson Lumber <br />Comractlx Widmer Bros <br />City License No <br />REMARKS AND SPECIAL CONDITIONS <br />Mound system — per MPG's report <br />PERMIT TYPE AND FEE: <br />Inside Plumbing (#fixtures — <br />Water Meter I Size ) <br />Meter it <br />Remote 0 <br />Municipal Water Connection <br />❑ Copper ❑ <br />Municipal Sewer Connection <br />❑ PVC ❑ Cast ❑ <br />MWCC SAC Charge <br />On Site Spetic System <br />ACKNOWLEDGEMENT <br />❑ NEW <br />Fee S <br />Fee $ <br />Fee $ <br />Fe $ <br />CITY PERMIT N? 9044 <br />Date Jure 10, 1987 <br />Address 2590 Countryside Drive <br />-- Address <br />❑ ADD <br />Fee S --- <br />Fee $ 30.00 <br />Rte unkragrud hen•hn a/knrwk•dge+ wtoFt ref this Inmted perms. <br />tnitdhng aurplante A all sMial infrrrnuurtn. terms Wrulrurma rw <br />reyuitery •nta wniten aline Rte urttkrvgried unlermants and aguo <br />orale+ lrnaltt rd Ltw Ilial this perntd n strteYlt hmn•d nt sergd• lu the wrwk. <br />a.ttlttt rw tmlwrnentent yterdal. that this lrmu deist nits grant ant <br />authrrnrt urdt+NNrk INae11tt1N9rt4wnrW l'ttttt-,iwrwr-nttappfrttal¢ afkt <br />tta: this Remit dlr nr4 (rant autfuxilt to %dilate ant pmstsuut Jany l•rtt <br />rrrduurtlt or %tate lata. rule err n•gulatrern V I wr.rk shall to th+ttc in 4rttt <br />.trmrrlame ntth all lilt l,rdinar000. hutklmg ultkn and'ltr health <br />dcranrn•nt n-}ulaunns and .fall he sufgeo to rrtoirom /.n. apprmal Or <br />rrll•rturn ht the l t% Utient- er o4t ttrttrred. the un crosipied aprto ter <br />entmt ass wrwk faunal to tv in %wlat nn rr( the turn ituats to this lx•rmt <br />Signature of Applicant <br />Citv-------- ST. Boni <br />ITION IN REPAIR <br />Water Well <br />Mechanical Equipment <br />Fireplace/Wood Stove <br />Moving/Lifting Buildings <br />land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Design Reyie% <br />Fire_ _ __-- <br />Sprinkler System (Fire) <br />Other. ---__—_-- — <br />After-thc-fact Investigation <br />TOTAL <br />Stats: Surcharge: <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 • 50 <br />Fee S 3D S 0 <br />This permit is not valid unt:I the proper fee is paid and it is approved <br />by an authorized City Official. <br />it <br />Signator • City Ofiici, ' �� <br />Cody: Wirt- File Gtpy Caw% Ino. Whir s Copy Pink --Fiance Copy Gold-- Applicant's Roc* <br />