Laserfiche WebLink
n <br />CITY PERMIT NO. " 7571 •GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX bb <br />CRYSTAL BAY. MINNESOTA 55323 <br />(612)473-7357 <br />Date <br />I'/'J'n kJ(L-Cl<^ <br />Contractor <br />Owner <br />5 ! <br />f A <br />City License No.State License No. <br />S ! <br />L <br />REMARKS AND SPI CIAL CONDITIONS <br />PERMIT TYPE AND FEE: □ NEW □ ADDITION <br />^) Fee S________ <br />□ REPAIR <br />Inside Plumbing ( # fixtures. <br />Water Meter (Sizt*^^^) Fee S.^c-cd <br />Remote#r, 3 S'? <br />Municipal Water Connection <br />DCopper O----- <br />Fee S. <br />Municipal Sewer Connection <br />□ PVC □ Cast Q <br />Fee S, <br />MWee SAC Charge-Fee S, <br />ACKNOWLEDGEMENT <br />The under&igned hereby ecknowledgcs receipt of thl* limited <br />permit, including accepUnce of «11 special Informitirm. <br />terms, conditions or requirements written shove. The <br />undersigned understands and rgrees under pensltv of isw <br />that this pennil is siricUy limtu-d In scope to the work, <br />activity or improvement specified; that this permit does <br />not grant any aulhontv to do work or acUviUes requiring <br />separate permit approvals; and that this pennit does not <br />grant authority to violate any provision of any City <br />ordinance or State law. rule or regulation. AU work sliall be <br />done In strict compliance with all City ordinances, building <br />codes and/or health department regulations, and shall be <br />tubiect to inspection, approval or reiection by the Citj . <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in violation of the conditions of <br />this permit. <br />Signature of Applic <br />On Site Septic System Fee <br />Water Well Fee <br />Mechanical Ei|uipment Fee <br />Moving/Lifting Buildings Fee <br />Land Alteration (Excavation. <br />Grading. Filling, etc.) <br />Fee <br />Othi'r*Fee <br />After-the-fact Investigation Fee <br />TOTAL <br />State Surdturge:Fee <br />Total .Amount Paid to City Fee W-. <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Otlicial. <br />■i <br />Code White I i!v* Copy Canary lnvpeciui*s Copy Pink HnanccCopy C.old Applicant’s Receipt