Laserfiche WebLink
GENERAL PERMIT CITY PERMIT N� 8 913 <br /> CITY OF ORONO <br /> P.O. BOX 66 Date �+�� � <br /> CRYSTAL BAY, MINNESOTA 55323 <br /> (612)473-7357 <br /> t --- <br /> O�mer ` �- ��' Address � C �t� � <br /> �� �Contractor ��-���1 � 7�-�`� Address � � <br /> City License No. �� / � City t ����"t'� ���� � �� � �..,� <br /> REMARKS AND SPECIAL CONDITIONS <br /> M�ter #3��9(o�y�Reader # Q �N �cj c�� � <br /> Provided at no charge, for monitoring purposes. Property owner assumes <br /> all responsibility for installation and maintenance of same. <br /> PERMIT TYPE AND FE • ';�NEW ❑ ADDITION ❑ REPAIR ❑ REMODEL <br /> Inside Plumbing (#fixtures�) Fee $�n, �!" Water Well Fee $ <br /> Water Meter(Size ) Fee $ Mechanical Equipment Fee $ <br /> Meter# Fireplace/Wood Stove Fee $ <br /> Remote# — Moving/Lifting Buildings Fee $ <br /> Municipal Water Connection Fee $ Land Alteration (Excavation, <br /> ❑ Copper ❑ Grading, Filling, etc.) Fee $ <br /> Design Review Fee $ <br /> Municipal Sewer Connection Fee $ <br /> Fire Fee $ <br /> ❑ PVC ❑ Cast ❑ <br /> Sprinkler System (Fire) Fee $ <br /> MWCC SAC Charge Fee $ <br /> Other: Fee $ <br /> On Site Spetic System Fee $ <br /> After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> State Surcharge: Fee $ � � <br /> The undersigned hereby acknowledges receipt of this limited permit. ''���,,� <br /> including acceplance of all special information, terms, conditions or T'O�1 ArilOUllt P`d1C1 t0 Clfy F'ee $ � <br /> reyuirements written above. The undersigned understands and agrces <br /> under�nairy of law that this permit is stnctly limited in scope ro the work. <br /> activity or improvement specified: that this permit dces not grant any <br /> au[hority todo work oractivities requiring separate permitapprovals;and <br /> that this permit does not grant authont}�to violate any provision of any City <br /> ordinance or State la�+�,rule or regulauon.All work shall be done in strict 'j'}�jS}�I'TT11t 1S riOt V3�ld uIltl�the pl'OpBI fee 1S p11C�aI1C�lt 1S lppl'OVP,d <br /> compliance H�ith all City ordinances, building codes and/or health <br /> department re@ulations,and shall be subject to inspection,approval or by an aUt}lOI1ZeC� Cl[y ��1Cla�. <br /> rejection bv thc City.Whenever so ordered,the undersigned agrees to <br /> rnrrect am�work found to be in viclation of the conditions of this permit. <br /> Signature of Applicant <br /> Signat e of City Off ial , <br /> 2� <br /> Code: White—File Copy Canary—�Inspecror's Copy Pink Finance Copy Gold ApplicanPs Receipt <br />