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ss- <br /> �`: .,= CITY PHRMIT NO. ... s �3� <br /> �= GENE AL PERMIT <br /> :� M CITY I OF ORONO Oatr — - <br /> �� P.O.BOX 66 <br /> '"�� CRYSTALi,BAY,MINNESOTA 55323 I' <br /> � <br /> �K612)473•7357 � <br /> '; <br /> .Ownrr G►�_��_� Addreu <br /> � <br /> Contractor Addreu <br /> .^Cf� License No. <br /> State L <br /> icense No. ! <br /> b' I <br /> � <br /> ,: REMARKS AND SP ICIAL CONDITIONS ' <br /> � <br /> I I <br /> k � <br /> � <br /> . „ I <br /> = PERMIT TY <br /> PE AND EE: ❑ NEW ❑ ADDI'TION ❑REPAIR I <br /> ' lnside Plumbing( � fi tures ) Fee S On Site Septic System F a_—=--- � <br /> .t� ; <br /> ,�.Water Meter(Size� Fee S Water WeU � a <br /> I i <br /> Meter � L Mechanical Equtpment F a— ' <br /> :Remote 1� � <br /> I � Moving/Lifting Buildings Fee S-- � <br /> ��,Municipal Water Connlection Fee 3 <br /> ��w � (;] Land Alteradon(Excavauon, Fe S---< <br /> �:�} , ::� �Copper ���� Grading,Filling,etc.) � <br /> k'i <br /> �� Municip�I Sewer Conn� ction Fee S �" <br /> '�� �, ❑PVC ❑C t n Other. Fe S_—. <br /> �'��''` ` �.,�� <br /> �`�5 M�AiCC SAC Charge Fee 5-��-- After-the-fact Investigation Fe S <br /> ��' ,�-" , j,.` <br /> ����rt� <br /> .����<.�� � ;� ..;.. TO'I'AL <br /> ��=:•ACKNOWLEDGEM <br /> � �, : � <br /> � � : rb.+�a.�+�.a n�ar.�►o.4as••�ros or ms,n�aa <br /> ;ar �pe►ud4n� t� o[ �11 rp�d�l tafoanatlon. <br /> `�C��`� 'r•. s�m°`sml.,;ooadlaoe. rwi�.m.oti ..,da.a .bov.. re. State Surcharge: Fee ��- <br /> �z 4 yadtr�d � �nd �R+�+ uadtr Dm�b of Lr O <br /> �i ' � � p�antt 4 atldetb ltmltsd in aop� w th� �oek. `',�,� <br /> " :: •���.� ��`"� t 'p°��� ti"` '�' °eT�` °oi Total Amount Paid to City Fee S_�C�2� <br /> 44 �. nd O�t mt auf6 ty to do woefc or�etlNtlss r�V��L <br /> ;* Mpasat� W��t +� : md that t6fs W�1t doa� not <br /> ` �nt rtthodb W �olate r�r D�dm o! m7 Qt7 . <br /> oedleasee or 84t�L .n+le or�Nktloa.A1L work ahatl be <br /> dar 1n st�et�o�P�i�� �m�a�'°�°�C°s'�� This rmit is not valid untii the prope fee is paid and <br /> eoe.. analo: 6..tm 1f.vartmme :.sWnon.. .nd .e.a n. Pe <br /> .,,a.�s w m.v.�st�.� .vv� a n�+� � "u �'h'• it is approved by an authorized City OfGc�ial. <br /> wib�ewes w I ih. w►aa�ad .O«. t.. eoa+ee I <br /> " � voAt tound to 10 ciolatlon ot tl►� eondltloes ot <br />` .' . ;. Ws pumlt . ; <br /> Signa:.�re of Applicant Signature of City i <br /> t <br /> .. . ,. . ... ' `_'t. .,.. . " � ' . . . . � . � . . <br /> . <br /> ' te—I�ilo CopY C1nuY—�mt�CoPY Pfnk-1•'inaoce CoQy Gold—APP��t`s Reeeipt <br /> '; , '. ,��. Cod°:W�►i ._ -., rr.r.,.. .. <br />