Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />Owner /_ taO'AD '-]& it '�l IIY-A L/<1 <br />Contractor �s kL1:e'as <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />0 <br />PERMIT TYPE AND FEE <br />Inside Plumbing Ofixtures_) <br />Water Meter (Size—) <br />Meter k <br />Remote N <br />CITY PERMIT NO. 8477 <br />I <br />Date �� c9& <br />Address 11-5-0-7 <br />Address <br />❑ NEW ❑ ADDITION <br />Fee S <br />Fee S —.- — -- <br />Municipal Water Connection Fee S <br />❑C'opper ❑ <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast r- <br />MWCC SAC Charge <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />Fee $__ <br />Fee S <br />The undersigned hereby acknowledges receipt of" limited <br />permlt. Including acceptance of all special information, <br />tem c conditions or requ:remertta written above. The <br />undersigned understands and agree under penalty of law <br />that We payroll is strictly Ilnrited is scope to the work, <br />activity or improvement specllieM that this permit don <br />not grant my authority to do work or activities requiring <br />espante permit approves: and that this permit don not <br />grant authority to violate any provision of any city <br />ordinance or State taw, rule or regulation. ALL work shall be <br />done in strict compliance with as City ordinances, building <br />codes and/or health department regulations. and @ball be <br />mbJect to bwPaction, approval or resection by the City. <br />Whenever so ordered, the undersipted agrees to correct <br />any work !ound to be in violation of the conditions of <br />this permit. <br />State License No. <br />❑ REPAIR <br />ter Well <br />anical Equipment <br />/Lifting Buildings <br />ILand Alteration (Excavation. <br />Grading. Filling, etc.) <br />kler System (Fire) <br />Investigation <br />TOTAL <br />Fee S 30 (V <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />State Surcharge: Fee Ssp <br />Total Amount Paid to City Fee Ste_ <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />of City <br />Code. White File Copy Canary- inspectors Copy Mak-Finance Copy Gold -Applicant's Receipt <br />