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GENERAL PERMIT ��P�� N� s 7 7 5 <br /> CIT� OF ORONO <br /> _ . ��r.o.aox� �� <br /> CRYSTAL BAY,MINNFSOTA 55323 <br /> (612)473-7357 <br /> o�r ��lcc..r �-es �--� ��� ( � aaa��Q�� �'-�' � � n�. <br /> concractor �Gv 1� 2�1� ,�dd,�s <br /> City License No. City <br /> REMARKS AND SPECIAL CONDTTIONS <br /> PERMTT TYPE AND FEE: O NEW �ADDITION ❑ REPAIR ❑ REMODEL <br /> Inside Plumbing(#fixtures � ) Fee $� � Water Well Fee $ <br /> Water Meter(Size ) Fee $ Mechanical Equipment Fee. $ <br /> Meter# Fireplace/Wood Stove Fee $ <br /> Remote# Moving/Lifting Btu7dings Fee $ <br /> Municipal Water Connection Fee $ Land Alteration(F.xc;avation, <br /> ❑ Copper ❑ Grading,F�ling,ezc.) Fee S <br /> Design Review Fee $ <br /> Municipal Sewer Connection Fee $ Fire Fee $ <br /> ❑ PVC ❑ Cast O <br /> Sprinkler System(Fire) , Fee $ <br /> MWCC SAC Charge Fee $ p�er. �,- -��� Fee $ � <br /> On Site Spetic System Fee $ <br /> After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> State Surcharge: Fee $ ' Sv <br /> The u�ersigned hereby ackrrowledges recei}n of this limited permit, �d <br /> ro <br /> including aoceptance of all special ��o�uo�, ��, ��a;eo� a Total Amount Paid to City Fee $�" � <br /> requirements written above. The undersigned u�ersrands and agrees <br /> under penalty of law that this permit is strictly Gmited in scope to the work, /I L/���}(l� <br /> activity or improvement spectified;that this pertnit dces not grant any �•'T�� 7 a <br /> suthority todo work or activities requiring separate permitapprovals;and <br /> that this pertnit dces notgra►rt authority to violate any provision of any C�ty <br /> ordi�nce or Smte law,rule or regulation.All work shall be done in strict 'I'�permit is not valid unt�the proper fee is paid and it is approved <br /> compliance with alt City ordi�mnces, building codes and/or health by an authorized City O�cial. <br /> de�rtment regulauons,and shall be subject to insperdon,approval or <br /> rejection by the CSry.Whenever so ordered,the undersigned agrees to <br /> rnrnect any work found to be in violation of the co�idons of this permit. <br /> Signature of Applicant <br /> • Signature f City O�cigl " <br /> � .�/I�t� <br /> Code: White—File Copy Canary—Inspedor's Copy Pink—Finance Copy � Gdd-ApplicanPs Reaeipt <br />