Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O. BOX 66 <br />CRYSTAL BAY. MINNESSOTA 55323 <br />(612) 473-7357 <br />Owner - <br />Contractor <br />,,4 <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />CITY PERMIT N? 8612 <br />Address <br />Address 7 / C;� 0��/.� <br />City o C <br />rlfflo==� <br />AA1111(J � -,.� -� , t� 1' ✓ /tit /-�� ( r- r' y � -tf <br />4-7 <br />PERMIT TYPE AND FEE: <br />❑ NEW <br />Inside Plumbing Ofixtures ) <br />Fee S <br />Water Meter (Size _1 <br />Fee S <br />Meter # — <br />Remote <br />Municipal Water Connection <br />Fee S <br />❑ Copper ❑ <br />Municipal Sewer Connection <br />Fee S <br />❑ PVC ❑ Cast ❑ <br />MWCC SAC Charge <br />Fee S <br />On Site Spetic System <br />Fee S <br />ACKNOWLEDGEMENT <br />Me undcrwnrd hereb. acknoMtetlpr, •- it-! to thn limited permit. <br />trtltrdtrtg aaerx: .t ,i .ul .rxtnl inttwmauon. terms. conittttwt, tw <br />r.yWlcmenlIi vtntirn ahoce TV undervgned unirntamf and agrcn <br />under pertaht to law that tht% permit n grxYl% limned in vile to the work <br />acucitc tw tmpwown"t yntfie& that tht, permit don', ma grant ant <br />authont%todrtwtwktwacttttttnreywnngteptarate permit appirmn1. and <br />that thn permit dtw%nit grant authontc to cu.lair anc pitttivson ttfant Cac <br />twdtrtance tw 14te lac.. rule tw regulaw n All tatwk Jell he tkme to yrx:t <br />compAtancc Nrth all ('m twdtrctrxin. hwltitng ..fin and tw ' filth <br />tirrnnrrtent rcgulautwn, and Jell he .uhtmi it :tcpucuon. appetnal or <br />reimtton h% the Of'%% Whrneter wt ordered. the unlrntgned agrm, to <br />corrmt any wwt louni to he in cu-Jautwt to the unwItion, ri thn permit <br />❑ ADDMON <br />Si Applitant <br />ter <br />I - <br />Water Well <br />REPAIR <br />Mechanical Equipment <br />Fireplace/Wood Stove <br />Moving/Lifting Buildings <br />Land Alteration ( Excavation. <br />Grading. t filing. etc.) <br />Design Review <br />Fire <br />Sprinkler System (Fire) <br />Other. <br />After -the -fact Investigation <br />T t t.,L <br />State Surcharge: <br />Total Amount Paid to City <br />❑ REMODEL <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />I•ee S <br />Fee S <br />Fee S <br />Fee it <br />Fee S <br />Fee S ,y <br />Fes $ <br />7 his permit is not valid until the proper fee is paid and it is approved <br />by an authorized City Official. <br />Signature of Official <br />�J <br />Ctutu While File Cope Canar. Impedor% Uop% <br />Pink Ftnarke Uup� Gdd-- Appttcant% Reoeitx <br />