HomeMy WebLinkAbout1985-7974 - plumbing CITY PERMIT NO. 79741
GENERAL PERMIT
CITY OF ORONODate
P.O.BOX 66
CRYSTAL BAY,MINNESOTA 55323
(612)473-717
Owner D be_� LQA • Address
Contractor Uato_ Address
City License No. State License No.
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑REPAIR
Inside Plumbing(#fix ires_) Fee $ Water Well Fee $
Water Meter(SiFee $/ Mechanical Equipment Fee $
Meter# g
Remote# L- Moving /Lifting Buildings Fee $
Municipal Water Connection Fee $ Land Alteration (Excavation, Fee $
Grading, Filling, etc.)
❑Copper
Municipal Sewer Connection Fee $
Fire Fee $
❑ PVC ❑Cast n Sprinkler System (Fire) Fee $
MWCC SAC Charge Fee $ Other: Fee $
On Site Septic System Fee $ _
After-the fact Investigation Fee $
ACKNOWLEDGEMENT TOTAL
The undersigned hereby acknowledges receipt of this limited
permit, including acceptance of all special information,
terms, conditions or requirements written above. The
undersigned understands and agrees under penalty of law State Surcharge: Fee $
that this permit is strictly limited in scope to the work,
activity or improvement specified; that this permit does
not grant any authority to do work or activities requiring Total Amount Paid to City Fee $/
separate permit approvals; and that this permit does not
grant authority to violate any provision of any City
ordinance or State law,rule or regulation.All work shall be
done in strict compliance with all City ordinances,building
codes and/or health department regulations, and shall be This permit is not valid until the proper fee is paid an
subject to inspection, approval or rejection by the City. it is approved by an authorized City Official.
Whenever so ordered, the undersigned agrees to correct
any work found to be in violation of the conditions of
this permit.
Signature of icant Si re of City
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Code: e e Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt