Laserfiche WebLink
GENERAL PERMIT CITYPERMITNO. g324 <br /> CITY OF ORONO ��-`� y��-� <br /> P.O.BOX 66 Date <br /> CRYSTAL BAY, MINNESOTA 55323 <br /> (612)473-7357 �,�5' <br /> � ��� S�?-�'� �� �,( J. <br /> Owner ���5�1 �-C-� Address <� <br /> „ . <br /> Contractor ��_� "J'1 � Address � <br /> City License Na l�� State License No. <br /> REMARKS AND SPECIAL CONDITIONS � <br /> �1 � ' ,� 'L � <br /> PERMIT TYPE AND FEE: �NEW ❑ ADDITION ❑ REPAIR <br /> Inside Plumbing (#fixtures_) Fee $ Water Well Fee $ ����� <br /> Water Meter (Size_) Fee � Mechanical Equipment Fee $ <br /> Meter# <br /> Remote� Moving /Lifting Buildings Fee $ <br /> Municipal Water Connection Fee $ _ Land Alteration (Excavation, Fee $ <br /> � Grading, Filling, etc.) <br /> ❑Copper <br /> Municipal Sewer Connection Fee $_ <br /> Fire Fee $ <br /> ❑ PVC ❑Cast � Sprinkler System (Fire) Fee $ <br /> MWCC SAC Charge Fee $ Other: 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 special information, C-� <br /> terms, conditions or requirements written above, The i � � <br /> undersgned understands and agrees under penalty of law State Surcharge: Fee � <br /> that this permit is strictly limited in scope to the work, <br /> activitY or improvement specified; that this perxnit does <br /> not grant anY authority to do work or acti�ities requiring Total Amount Paid to City Fee $ 1 " <br /> seParate Permit approvals; and that this permit does not <br /> grant authority to violate any provision of any City <br /> ordinance or State law,rule or regulation. All work shall be <br /> done in strict compliance with all City ordinances, building <br /> codes and/or health department regulations, and shall be This permit is not valid until the proper fee is paid and <br /> subiect to inspection, approval or reiection by the c�cY. it is approved by an authorized City Official. <br /> Whenever so ordered, the undersigned agrees to correct <br /> any work found to be in violation of the conditions of <br /> this permit. <br /> Sign� o�Ap licanT � Signatur f Ci Official <br /> ✓` ����,L�'�.��' r� � ����^-;., <br /> Code:White—File Copy Canazy—Inspector's Copy Pink—Finance Copy Gold—ApplicanYs Receipt <br />