HomeMy WebLinkAbout06-01-1987 Permit 9031GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAI. BAY. MINNESOTA 55323
(612)473-7357
CITY PERMIT N9 9031
L I'^''1[>alc
Owner
Contractor
Citv l.icense No.
■V (612)47.t-7.<5/
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.Atldri‘s>
Atldres-s
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C.-'City 4^i nui I &ln ^^6
REMARKS ANI3 SPECIAL CONDITIONS
IqC C)i<JLL ^£ C(k-^-
^CC-lOAi i4-
PERMIT TA PE AND FEE:
Inside Plumbing (><fixtures —
Water Meter (Si/e___)
Meter ^___________
Remote tf
Municipal Water Connection
□ Copper □ -------
Municipal Sewer Connection
□ PVC □ Cast □
MWee SAC Charge
On Site Spetic System
NEW
Fee $
Fee $
Fee $
Fee S
Fee $
Fee $
□ ADDITION □ REPAIR
Water Well
Mechanical Fx)uipment
Fireplace/WiHxi Stow
Moving/Lifting Buildings
Land Alteration (Excavation,
Grading. Filling, etc.)
IX'sign Review
Fire___________________
ACKNOWiLDGIMENl
The uiKlefM>!ikil hffi‘b\ acknouloJpt'v iixnpt of ihiv piTmil.
irxhiJinK aurptimv of all spcvul infonniiiion. icrno. condition^ (h
ft*qum*mcnt> wntlc jN ac The utKk‘rMj!rHHl uixk*p>larKiv and apreos
under pi-nallv of law ihai ihc^ pi imil - tnedv limited in Hofx* UMhr work.
ailiMlv t»r impiovenH'm vpivtiiai. that ihix pi*rm>i doe*> not an\
aulhonl> uul«*workoi ailiMtievreguirii4''epdraUTX*rmilapprmak and
Ihaith^^'mutdik^notgraniauihontv io\iobk'an> prowsKHiofanx ( it\
ordinance or Sute law. rule or u'l'ulaiion .Ml work shall K done in sItki
coinpiuixe with all ( itv onlmarKT*s buiklinj! o«des arnl or health
itepanmeni ri*^ulali<Mis. arut shall K' Mibfal to msfviuon. appro\al or
rcKMion b\ the Cit> Whewver S4» ordeu*d. the undefMKfK-d u |.mivs u <
eoruxi anv w«nk fourkl li*bi‘ iii Mt-lilion of theconililn^nsol this permit
□ REMODEL
30 0^
Fee $ _________
Fee $ _________
Fee $__________
Sprinkler System (Fire)
Other-------------------
After-the-fact Investigation
Fee $
Fee $
Fee $
Fee S
Fee $
Fee $
TOIAI
State Surcharge:
Total Amount lAiid to City
Fee $
Fee $
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3o-So
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This permit is not valid until the proper fee is paid and it is approved
by an authori/etl City Otficial.
Signature ol Citv OlHcial
____>s'
: t)i iiy
C ikIc Whili' liIcCopN CanarN In'.pivlor''. Ci'pv I’ink rituinic Cops Gold- Applicant's Receipt