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GENERAL PERMIT <br />CITY OF ORONO <br />VO. BOX 66 <br />CRYSTAL BAY. MINNESOTA 55323 <br />Nk <br />12) 473-7357 <br />Owner �— IN - . <br />( <br />Contractor --- Jit L " _%1- - — - - ____ <br />City l.ic.:r>sc No. — ---- `� �------ — -- <br />REMARKS AND SPECIAL <CONDITIONS <br />PERMIT TYPE AND FEE:- <br />Inside <br />EE:Inside Plumbing (#fixtures _) <br />Water Meter (Sin �) <br />Meter At <br />Remote a _ <br />Municipal Water Connection <br />O Copper O <br />Municipal Sewer Connection <br />❑ PVC O Cast O <br />MWCC SAC Charge <br />On Site Spetic System <br />ACKNOWLFIGFMENT <br />O NEW <br />Fee $ <br />Fee $ _ <br />Fee S <br />Fee S <br />CITY f'F.RMIT N° 8999 <br />—..-_-- AddressCity <br />_ <br />Date _-- '57— 8— <br />O ADDITION O REPAIR <br />Water Well <br />Mechanical Equipment <br />Fireplace/ Wr . we <br />Moving/ Liftint: dings <br />Land Alteration ( Excavation. <br />Grading. Filling. etc.) <br />Deign Review <br />Fee S <br />Fee S , <br />Ilk- untdv Wnced h,veln arkn„wkifln- rcterrrt ,A th,, hmtted rrrmav <br />in,•ludrrg accrplanct- ,f all •rxrtal mhnmauon. 11.1111.. o,nndanut. „r <br />rterwtcnwnH wnik-n alt,ce nx• unok-mpn,el urkkntand, and apvc, <br />unck-F r,eretltc ,A raw that IN% rxrma r% urkrl% limited to v orx• at the work <br />armor ,x rmkpimemeni l%-tiFk-d. that the, rx•rmt drt, n,A print am <br />autMntc tuc, w,xk,x acLt aie' k-ywnng v purat• rrrmrt appro,al.. and <br />that thn rtrmadirt. MAFrant auth ntc u, cu,luk•;in% panr.un,A am ('rt% <br />radrmn&e,e State law ruk- w n'Yulauon All work hall N• d,nk• rnVrirt <br />a,mrAmnrc with all ('etc ondinarkt-. Nuking r,ak, .i tl or health <br />,krmnnwiti repu4unn• and .hall lx• .uhjcei it, nyxttnon, appy„cal or <br />repeUon h% the (lt% Nhenecrr .,,,ud-fed the untlrr.,knked ak,ty% it <br />,Diner arrc work burl to lie in cud,tu,n,A the curdruom,A fill, (morn <br />Signature of Applicant <br />Fire <br />Sprinkler System (Fire) <br />Other: <br />After -the -fact Inletigation <br />O REMODEL <br />Fee S <br />Fee $ _ <br />Fee $_ <br />Fee $ _ <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />TOTAL 7T <br />State Surcharge. Fee S 5 C� <br />Total Amount Paid to City Fee S ,� S (J <br />This permit is not valid until the proper fee is paid and it is approved <br />by an authorircd City Official. <br />Signature IC'ity Official <br />(„dr N httc I tk• ('opt ( `anar.% Imrxeior', ('op% Pink I uutncr ('opt (weld Appliain i Raeir4 <br />