HomeMy WebLinkAbout1982-6826 (Fireplace)CITY PERMIT NO. " 6826 '
Date —
GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
Owner Address ^
Contractor______AJ.S'T*/ Address f<J
City License No..State License No.
REMARKS AND SPECIAL CONDITIONS
(VIaaJP. Fi/lep//ia
PERMIT TYPE AND FEE:
Inside Plumbing { § fixtures.
Water Meter (Size___)
Meter if__________
□ NEW
_)
DDITION □ REPAIR
Fee S_
Fee S.
Remote H
Municipal Water Connection
D Copper n----
Fee S.
Municipal Sewer Connection
□ PVC □ Cast HL
Fee S.
MWee SAC Charge Fee S.
On Site Septic System
Water Well
Mechanical Equipment
Moving/Lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Other:_________________
After-the-fact Investigation
Fee S.
Fee S.
Fee S_^
Fee S_______
Fee S-----------
Fee S.
Fee S.
ACKNOWLEDGEMENT
Tlie undenisned hereby acknowledges receipt of this limited
permit, Including acceptance of all special Information,
terms, conditions or requIremenU written above. The
undersigned undersUnds and agrees under penalty of law
that this permit Is strictly limited In *icope to the work,
activity or improvement speclfled: that this permit does
not grant any authority to do work or activities requiring
separate permit approvals; and that this pennit does not
grant authority to \iolate any provision of any City
ordinance or State law, rule or regulation. AU work shall be
done in strict compliance with all City ordinances, building
codes and/or health department regulations, and shall be
lublect to inspection, approval or rejection by the City,
Whenever so ordered, the undersigned agrees to correct
any work found to be in violation of the conditions of
this permit.
Signature of Applicant
/
TOTAL
State Surcliarge:
Total Amount Paid to City
Fee
Fee S______
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Sienatiim nffitv OfficiaL ^ ^
Code: \Vlilie-nic Copy Omary-Inspector’s Copy Pink-Mnance Copy Gold-Applicant’s Receipt