Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O. BOX 66 <br />CRYSTAL. BAY. MINNESOTA 55323 <br />(612) 473-7357 <br />Owner �'� �(C'i ►E' �C�C-P r <br />Con <br />tractor <br />City license No. J L <br />REMARKS AND SPECIAL CONDITIONS <br />lt�'r <br />4- r ►l( <br />CITY PERMIT N? 9062 <br />Date -- <br />mo -f -,l <br />Addrt.N- % t� 0L. r r !Ic- P/Q C'--kL— <br />Addrem <br />City <br />e�! �. Y�•� 1 , � �-C'�(.. - L �- Cj1-lt_ i F _ �.1�! F� I � � �_C� r �: � <br />PERMIT TYPE AND FEE <br />Inside Plumbing (afixtures <br />Water Meter (Size —) <br />Meter a <br />Remote a — <br />Municipal Water Connection <br />O Copper O <br />Municipal Sewer Connection <br />❑ PVC ❑ Cast O <br />MWCC SAC Charge <br />On Site Spetic System <br />ACKNOWLEDGEMENT <br />NEW <br />Fee S _ <br />Fee S <br />Fee S <br />Fee S _-- <br />Fee S — <br />The uexkr4pn.d tk'n•ht acknrwkdpr. n•ctnpt t4 Ihr Irmtkd rwrmu. <br />inluduq aurpunr of all .Inial Inhnnuuum. Wnrnh. tortduion% tr <br />regtarcrtknt w ;uen at%.%c lire undermpnrd undtvanh <br />. and agrct, <br />unkr prnrltt td I -.w that thisprrmn n.trwtl% Irmtad in vola• w ilk- work. <br />aotu% rK rmprr-ement <prarkd: that this lx•rmtl dtxt niA grant am <br />emhonit dnh~r& or aaut iut•. rtgmnnp -tpualr rtermn apprmak an d <br />that this rwrmrtdtxr nagrartt audurntt to tmttalr ant prmwm otam ('u% <br />onhrunc or Stair taw rule of rrpu4rut,n All wtxk .hall tv tkmr m vn•t <br />romplanc wish Al ('nt ordrnartmN. hurltdtnp ctak. anti or htnhh <br />tkparinu•m rtpulatwnk. and %hall hr .ut+XYt to rmprltkllt..jprmal or <br />rrlttiutm ht itk• Co lyhtw%er v, onkred, the unirr%jo d ap it, to <br />t orret t :nn wurk found w to in tuJautn d thz- onduuxn of this dertntt <br />Signature of Applicant <br />,r 44- <br />❑ ADDITION <br />Water Well <br />❑ REPAIR <br />Mechanical Equipment <br />Fireplace/ W(ad Stove <br />Moving/ lifting Buildings <br />land Alteration ( Excavation. <br />Grading, Filling. etc.) <br />Design Review <br />Fire _- <br />Sprinkler System I Ere) <br />Other. — <br />After -the -fact Inw-stigation <br />TOTAL. <br />❑ REMODELS �, <br />Fee S Q <br />Fee S <br />Fee S <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 S ' <br />Total Amount Paid to City Fee S SD <br />C k a 74 ; 5S <br />This ptrmit is not valid until the proper fee is paid and it is approved <br />by an authorized City Official. <br />Signature of city Orr I <br />('retie White F&Copy Canar% In%M-tor'% ('opt Pink Finan►r Copy GO& AppAianf% Receipt <br />