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CITY PERMIT NO. 8 2�S � <br /> GENERAL PERMIT � <br /> CITY OF ORONO Date � - � I - �� <br /> r.o.aox 66 <br /> CRYSTAL BAY,MINNESOTA 55323 <br /> (612)473-7357 <br /> Owner � C�-�'� ��� �� Address ��� � ��� � <br /> Contractor Address <br /> � <br /> City License No. State License No. <br /> I <br /> REMARKS AND SPECIAL CONDITIONS � <br /> PERMIT TYPE AND FEE: ���TEW ❑ ADDITION ❑REPAIR <br /> Inside Plumbing(#fixtures_) Fee $ Water Well Fee $ <br /> Water Meter(Size—) Fee $ Mechanical Equipment Fee $ <br /> Meter# <br /> Remote,# Moving/Lifting Buildings Fee $ <br /> Municipal Water Connection Fee $ Land Alteration (Excavation, Fee $ <br /> � Grading, Filling, etc.) <br /> ❑Copper <br /> Municipal Sewer Connection Fee $ <br /> Fire Fee $ <br /> ❑ PVC ❑Cast n Sprinkler System (Fire) Fee $ <br /> MWCC SAC Charge Fee $ �� • Other: Fee $ <br /> On Site Septic System Fee $ After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> The underslgned hereby acknowledgea receipt of this limited <br /> permit, including acceptaace of ail spedal informatton, <br /> terma, coaditions or requi:ements wlitten above. The State Surchar e. Fee � <br /> underaigned uaderstands and agrees uader penatty of law g � <br /> that this pem�it is strlctly limited ila scoHe to the work, ��� <br /> activitY or improvement speei�ed; that this Permit does <br /> aot grant aaY authoritY to do wark or activities requ�tng Total Amount Paid to City Fee $ e <br /> separate permit aPProvele; and that this permit doea aot � <br /> grant authoritY to violate snY rnovialon of az►y City <br /> ordiaance oz State law,rule or regiilatioa.All work ahall be <br /> done in strlct compliance with all CitY ordinancea,building <br /> codes and/os health deBerEment regulatione, and ehall be 'This permit is not valid until the proper fee is paid and <br /> subJect to inapection, approval br relection b9 the GYty. it is approved by an authorized City Official. <br /> Wheaever so ordered, the undarsigned e�ees to correct <br /> any work found to be in violation of the conditlons oP <br /> this Peimi� <br /> Signature of Applicant Signature of City Offici <br /> �G��-�/C�� � �.t-✓�X �C. <br /> Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—AppHcant's Receipt <br />