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Owner _ <br />Contractor <br />GENERAL PERMH' <br />CITY OF ORONO <br />P.O.BOX66 <br />CRYSTAL BAY. MINNESOTA 55323 <br />(612)473-7357 <br />1>r.« /yO,II <br />City License No.I <br />REMARKS AND SPECIAL CONDITIONS <br />CITY PERMIT N9 8668 <br />Date <br />Address <br />i..\A«^IS n flh <br />City---------------------------------------------------- <br />PERMIT TYPE AND FEE:■^EW <br />Inside Plumbing ((/fixtures ------)Fee S <br />Water Meter (Siz£ )Fee S <br />Mp|pr« <br />Romnln // <br />Munidpal \Witcr Connection Fee $ <br />□ Copper □ <br />Munidpal Sewer Connection Fee $ <br />□ PVC □ Gist □ <br />MWee SAC Charge Fee S <br />On Site Spctic System Fee $ <br />□ ADDITION □ REPAIR □ REMODEL <br />Water Well Fee $ <br />Mechanical Equipment Fee $ <br />Fireplace/W'ood Stove Fee S <br />Moving/Lifting Buildings Fee S <br />Land Alteration (Excavation. <br />Grading, Filling, etc.) <br />Design Review <br />Fee S <br />Fee $ <br />Fee $ <br />Sprinkler System (Fire)Fee $ <br />F«* S <br />After-the-fact Investigation Fee $ <br />ACKNOWLEDGEMENT <br />The umlcnagncd hca*by acknowledges axxnpc of ihis limited pcimil. <br />including aoeptana* of all sjvcii! infomuiion, terms, amdiiions or <br />requirements written aUnc. The undersigned undcrsianils and agrees <br />untkr penalty i»f law that this permit is .y rictly limited in ?coiv to the work, <br />actisily or improvement spixSfied: that this permit dtxs not grant any <br />authority todo work or activities requiring separate permit approvals: and <br />that thK permit docs not grant authority to vioble any provirion of any Gty <br />ordinance or Stote law. rule or reguhtion. All work .shall be done in Mrkt <br />compliance with all City ordinances, building ctrdes and/or health <br />department regubtioas. and shall be subject to inspection, approval or <br />ejection by the City. Wheneverordered, the undersigned agrees to <br />correct any work found to be in viobtion of the conditioas of this permit. <br />TOTAL <br />State Surcharge: <br />Total Amount Riid to City <br />Fee $ <br />Fee S <br />■'SO <br />30.S0 <br />Signature of Applicant <br />This permit is not valid until the proper fee is paid and it is approved <br />by an authorized City OfEdal. <br />Signature of City Ofllcial <br />Oxle: Whiie-nicCopy Canary’—Inspex’tor's Copy Pink—Finance Copy Gold—Applicant ’s Raxripl