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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612)473-7357 <br />Owner <br />CITY PERMIT NO.8301 <br />Address OS <br />Address. <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE; <br />Inside Plumbing (i/fixtures__) <br />Water Meter (Size__) <br />Meter#______________ <br />□ new □ addition □ repair <br />Remote <br />Municipal Water Connection <br />□ copper n <br />Municipal Sewer Connection <br />□ pVC □cast □. <br />MWCC SAC Cliarge <br />On Site Septic System <br />Fee S <br />Fee <br />Water Well Fee <br />Mechanical Equipment Fee <br />Moving /Lifting Buildings Fee <br />Land Alteration (Excavation, Fee <br />Grading, Filling, etc.) <br />Fire Ppp <br />Fee !s <br />rcC o ----------- <br />Fee S. <br />Sprinkler System (Fire) Fee <br />Other: Ppc <br />After-the-fact Investigation FeeFee S <br />ACKNOWLEDGEMENT TOTAL <br />The undersigned hereby acknowledges receipt of this limited <br />permit, including acceptance of all special InformaUon, <br />terms, condiUons or requirements written above. The <br />undersigned understands and agrees under penalty of law <br />that this permit Is strictly limited In scope to the work. <br />State Surcharce; Fnft S <br />Total Amount Paid to Citv Fee .s: <br />acUvity or Improvement specified; that this permit does <br />not grant any authority to do work or activities requiring <br />separate permit approvals: and that this permit does not <br />grant authority to violate any provision of any City <br />ordinance or State law, rule or regulation. All work shall be <br />done In strict compliance witli all City ordinances, building <br />codes and/or health department regulations, and shall be <br />sublect to Inspection, approval or re]ection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in vioIaUon of ike condlUons of <br />This pennit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />this permit. <br />Signature of Applican^^^--Signature of City Offidal <br />Code: Wliitc-nic Copy Canary-Inspector’s Copy Pink-I'inancc Copy Gold-Applicant’s Receipt