Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />CITY PPRMITNO. .. 7538 ^ <br />P.O.BOX 66 <br />CRYSTAL BAY. MINNESOTA 55323 <br />,612)473-7357 <br />Date 7-MHL <br />Owner <br />Conlmctor <br />City License No. <br />Address <br />Address <br />State License No. <br />3^^7 <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE:NEW □ ADDITION □ REPAIR <br />Inside Plumbing ( if fixtures,Fee $. <br />Water Meter (Size:iat)^ ^ Fee 5 <br />...... 7.<?g/7 3 33 <br />Remulel //^ <br />/JO <br />On Site Septic System Fee S <br />Municipal Water Connection <br />Q Copper Q------ <br />F«. $. <br />Municipal Sewer Connection <br />□ PVC □ Cast Q <br />Fee $. <br />MWee SAC Charge Fee S, <br />Water Well Fee S <br />Mechanical Equipment Fee S ' <br />Movinf.^Litting Buildings Fee S <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Fee S <br />Other:,Fee $ <br />After-the-fact Investigation Fee S <br />ACKNOWLEDGEMENT <br />in* uiia*nl»Ma arknowlcdan racciai of Okit ttmlwd <br />paiMit. toclodkni wiMbhMW* of lU ••cikl inlonnkfloii. <br />Mm, rooaiMonk or wqulwm—M •rail»n kbov*. Tht <br />iinarfin-i MtarrtUMd* Mid aCMM oodei p«i«ltv of <br />Ihal tlito u UmIMd to iroiir t»» ** <br />•rWisiv .w lifiMVlVtoMit M«cllkd. «li«l tliU »«•« dM <br />•m BMit Miy •odiotlW to do worh <»i <br />MPM.M p.imlt aaorovti*. Mid *•« P*rmU dow oot <br />Moot oudioiUv to vtotato Mi» ptoiddoii at my Clt» <br />offdUtMico Of Smm too. ml* Of rofnloaoo. Ad «otd Add W <br />duo* to ftrtet co«ipf‘Mi<-« witfc dO City ufdMMiedd. <br />coddd dod/of kdoMi dd»Mtm*m RfutoltoM. dad d>dd bd <br />tutodci to todadcMoa. iapf‘*''«i "* to|d«doo b» d ^t». <br />Wlidiw«*i »o Jfduvd. tlid iiKldiMdadd ddtodd to romri <br />day out* luMRd W ta >" noUdoa of dM roadlltaad of <br />Idw Mnau. <br />Signature of ApptVan'^ <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee S <br />Fee $/30 0b <br />This pennit is not valid until the proper fee is paid and <br />it is approved by an authorized City Oflicial. <br />Sigddu^ of (Tty Ot>rciIm <br />C u4t rnhm likCufy Csiuiry hull I mMHY Cof>