Laserfiche WebLink
GENERAL PERIVIIT CITYPERMITNO. � 8243 <br /> CIT� OF ORONO Date � ,� <br /> P.O.BOX 66 <br /> CRYSTAL BAY,MINNESOTA 55323 <br /> (612)473-7357 <br /> Owner ` r� � e Address � � � 1!�� �.. <br /> Contractor � Address � <br /> City License No. ' u � State License No. r�� /n ��� � <br /> REMARKS AND SPECIAL CONDITIONS `� �� <br /> PERMIT TYPE AND FEE: ❑ NEW ❑ ADD�TION ❑REPAIR <br /> Inside Plumbing (#fixtures_) Fee $ Water Well Fee $ <br /> Water Meter(Size—) Fee $ Mechanical Equipment Fee $ � � d <br /> Meter# <br /> Remote,# Moving/Lifting Buildings Fee $ <br /> Municipal Water Connection Fee $ <br /> Land Alteration (Excavation, Fee $ <br /> � Grading, Filling, etc.) <br /> ❑Copper <br /> Municipal Sewer Connection Fee $. <br /> Fire Fee $ <br /> ❑ PVC ❑Cast n Sprinkler System (Fire) Fee $ <br /> MWCC SAC Charge Fee $ Other:_�G.�.�..�{� . Fee $ � <br /> On Site Septic System Fee $ After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> The undersigned hereby acknowledges receipt of this limited <br /> permit, including acceptance of all sDedal informatton, � <br /> terms, conditions or requirements wxitten above. The State Surcharge: Fee $ �� <br /> under�gned understaads and a�ees under penalty of law <br /> that this permit is strIcUy limited in scope to the wozk, <br /> activity or improvement apecified; that this Dern►it does <br /> not grant anv authoritv to do wark or activitiea requiring Total Amount Paid to City Fee $ � � <br /> separate permit approvals; and that thia germit does not <br /> grant authority to violate my provision of anq City <br /> ordinance or State law,rule or regulation.All work shell be <br /> done in strict compliance with all City ordinances,buildina <br /> codes aad/or health deDartment reQulations, and ehall be 'This permit is not valid until the proper fee is paid and <br /> subiect to iaspection, agvroval br reiection by the City. it is approved by an authorized City Official. <br /> Whenever so ordered, the underaigned agrees to correct <br /> any woxk found to be in vlolatlon of the conditions of <br /> this permit. <br /> Signature of Applicant Signature of City Official <br /> t7�+ f �� ��_� <br /> Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—AppHcant's Receipt <br />