Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 5 53 23 <br />(612) 4 73-735 7 <br />CITY PERMIT NO. 7584, <br />Date A -2y- i q <br />Owner 4mj ,>IQGVW5'-S Address 3 76% 4A-9_Cr, _ <br />Contractor ZAT7Z1! ER— L Address V 1 C-Tr)41 , ►A4 N <br />City License No. State License No. 1 01 t- r <br />REMARKS AND SPF''IAL CONDITIONS <br />PERMIT TYPE AND FEE <br />Inside Plumbing( # .fixtures <br />Water Meter (Size ) <br />Meter M <br />Remote M <br />*v'!,W ❑ ADDITION ❑ REPAIR <br />I fee $ I On Site Septic System <br />Fee S- I Water Well <br />Municipal Water Connection Fee S <br />❑Copper ❑ <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast ❑_____ <br />MWCC SAC Charge <br />ACKNOWLEDGEMENT <br />Hee S <br />The undersi{»cd hereby acknowledges receipt of this limited <br />permit, including acceptance of all special information, <br />terms, cund'tions or requirements writaen above. The <br />undersigned understands and agrees under penalty of law <br />that this permit is strictly limited in scope to the work. <br />acuity or improvement specified: that this permit doe. <br />not grant an, authrrity to do work or activities requiring <br />sevarate permlI %pprovals, and that this permit does not <br />grant authority t violate any provision of any City <br />ordinance or State la. rule or regulation. All work shall be <br />done In strict compllan • with all City ordinances, building <br />codse and/or health d v_ tment regulations, and shall be <br />sub)ect to inspection approval or refection by the City. <br />Whenever to ordered, the underaigned agrees to correct <br />any work found to be in violation ut the conditions of <br />this permit. <br />Mechanical Equipment <br />Moving, Lifting Buildings <br />Land Alteration (Excavation, <br />Grading, i'ii!ing. etc.) <br />Fee <br />S <br />Fee <br />S 30 - <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Other: Fee S <br />After -the -fart Inve,tigation Fce S <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />!fee S <br />Fee S O <br />This permit is not valid until the proper fee is paid and <br />it is approved b an authorized ( ity official. <br />Signature of Applicant Signaturty Offieial <br />Code: White -Fie Copy Canary- Insip"ti,r's Copy Pint I finance Copy Gold AppIcani's Receipt <br />