Laserfiche WebLink
GENERAL PERNIIT <br />CITY OF ORONO <br />PO. BOX 66 <br />CRYSTAL_ BAY. MINNESOTA 55323 <br />(612) 473-7357 <br />Owner _-- — <br />�hrContractor --- ^�--_-_-- <br />Citv L.iccnse No. --------_-- — _ -- _-- <br />REMA <br />PERMIT TYPE AND FEE: <br />Inside Plumbing (ftfixtures _ <br />Water Meter (Size <br />Meter it —_ — <br />Remote tt —— <br />Municipal Water Connection <br />❑ Copper ❑ -- <br />Municipal Sewer Connection <br />❑ PVC ❑ Cast ❑ <br />MWCC SAC Charge <br />On Site Spetic System <br />ACKNOWLEDGEMENT <br />nwlc <br />❑ NEW <br />Fee S <br />Fee S <br />FLc S <br />Fee $ <br />Fee S <br />Fee S <br />The urxkrstgncd tx'reh% acknowkdgcs receipt of this limited prrmn. <br />rrklLLhne 'iLve tiarkt' of all sprtwl information. term%. LOW1I10m Ix <br />reywrrnxnt% wnllen atxr%e. 111P untterslgrled under.urld� and agrees <br />inkier R•naht of L'o% th.n this permit isstn••!y% limited in so:opc• to the work. <br />.KU%n) ra Improcenlent slxrlfed: the .nis permit does not grant an% <br />.nnhont% todo w irk or attnluts n%tuinng sepurate permit appro%ah. and <br />Ihit this rwrmil does not grant authonp to %iodateam pm%rion odam Cm <br />ordlNrxx of SLllt' law, rifle lit reg111at1orl All work shall Ise dlnx• in strkt <br />cnmplcoke wuh .III (lt\ ordln1rkts. hudding itxis a1r1 or health <br />dcl,anment reg ula uom. and %hll tx• suhpect to imr cuun. appro%al or <br />relcYuon h% the Co tt'hene%cr so ordered, the underslpned agrcvs to <br />count an% %%ork found Io tv m %Iodation tit the condition, of this trrmn <br />Signature Applicant <br />❑ ADF <br />CITY PERMIT N? 8936 <br />Date _ - - -7 -- V 7 <br />Addre�� -- , � C: / <br />:lddres,s <br />Citt <br />ITION ❑ REPAIR <br />Water Well <br />Mechanical Equipment <br />Fireplace/Wood Stove <br />Moving/lifting Buildings <br />land Alteration (Excavation, <br />Grading. Filling. etc.) <br />Design Review <br />Fire — <br />Sprinkler System (Fire) <br />Other. <br />Aftvr-t'6c .art investigation <br />❑ REMODEL <br />Fee S _ <br />FeeS— <br />Fee S _ <br />Fee S — <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee $ <br />Fee S _ <br />TOTAL �.. <br />Stale Surcharge: Fee $ <br />Total Amount Paid to Citv Fee $ S 2 1 ,7 <br />This permit is not valid until the proper fie is paid and it is approved <br />by an authorised City Official. <br />it City Official <br />a 0/. <br />Ctxtr White File Cop, Canary Incptttor'. Copt fink Futanrr ('ups Gold- Applicant•% Rtceipt <br />