Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O. BOX 66 <br />YSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />Owner .J/"Oo <br />Contractor <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE -- <br />Inside Plumbing (#fixtures —) <br />Water Meter (Size —) <br />Meter All _ <br />Remote a <br />Municipal %ter Connection <br />❑ Copper ❑ <br />Mwwpal Sewer Connection <br />❑ PVC ❑ Cast ❑ <br />MWCC SAC Charge <br />On Site Spetic System <br />ACKNOWLEDGEMENT <br />' iNEW <br />CRY PERMIT N? 8762 <br />Date <br />Address �It3 1ck e t-f Z—k Z9/ <br />c <br />Address <br />City fo/� <br />❑ ADDITION <br />Fee S I Water Well <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />The urdenrltnel hcreh� acktkmkdKc. ramp t4 this lrm,W mrim <br />trttltahrtlt atxeptante of all %Paul rlornuutm, term%. tondntom ,r <br />reytmrenwM% wnttrn tlxnc Tht unlentEned unlrnunth and ar rt, <br />utdn rwmh% of laa tbt this mmtl n orm1% hmtred to vorw to thr work. <br />utt%tty tr rmprowment %pYdted. that tht% prmrt &r% n,t grant an, <br />authonty tod wtxk or attttit" mgwnryt,rparat fermnap{uo,ak and <br />thatthisPrrmtrtk,nnNRunauthont%tobrielramp")% mn4an%0t% <br />txdoanY tw Stair law. rule or regulatr„n .AD Atwk %hall N. tkmr to vrxt <br />awnPlamv with all ('m% ,ndimmrs. Ixukhrip ttixka ant m health <br />dt7anment repulatttm%. artd %hall he .utlett ap , tmnutm. appomal or <br />relatmm h% thr ('n% N'henrtrr m, ordered. the unkrmrrw d ajrrrrn to <br />torrett am work found to hr m ,aaatt,m,4 the c,rdtuom„ l this rwrmm <br />Signature of Applicant <br />❑ REPAIR <br />Mechanical Equipment <br />Fireplace/Wood Stove <br />Moving/lifting Bwldings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Design Review <br />Fire <br />Sprinkler System (Fire) <br />Other. <br />After -the -fact Investigation <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />❑ REMODEL �.,) <br />Fee S vU <br />Fee S <br />Fee $ <br />Fee S <br />Fee S <br />Fee S <br />Foe S <br />Fee S <br />Fee S <br />Fee S <br />Fee S ' -se) <br />Fee S <br />This permit is not valid until the proper fee is paid and it is approved <br />by an authorized City Official. <br />-44we of City Official <br />C'ruir U hrle File Cop% Canan Inch tiux'% Copy hnk -- Finarfa Cop% UQ - Applicant's Raetpt <br />