HomeMy WebLinkAbout09-05-1986 Permit, Water Well #8668Owner _
Contractor
GENERAL PERMH'
CITY OF ORONO
P.O.BOX66
CRYSTAL BAY. MINNESOTA 55323
(612)473-7357
1>r.« /yO,II
City License No.I
REMARKS AND SPECIAL CONDITIONS
CITY PERMIT N9 8668
Date
Address
i..\A«^IS n flh
City----------------------------------------------------
PERMIT TYPE AND FEE:■^EW
Inside Plumbing ((/fixtures ------)Fee S
Water Meter (Siz£ )Fee S
Mp|pr«
Romnln //
Munidpal \Witcr Connection Fee $
□ Copper □
Munidpal Sewer Connection Fee $
□ PVC □ Gist □
MWee SAC Charge Fee S
On Site Spctic System Fee $
□ ADDITION □ REPAIR □ REMODEL
Water Well Fee $
Mechanical Equipment Fee $
Fireplace/W'ood Stove Fee S
Moving/Lifting Buildings Fee S
Land Alteration (Excavation.
Grading, Filling, etc.)
Design Review
Fee S
Fee $
Fee $
Sprinkler System (Fire)Fee $
F«* S
After-the-fact Investigation Fee $
ACKNOWLEDGEMENT
The umlcnagncd hca*by acknowledges axxnpc of ihis limited pcimil.
including aoeptana* of all sjvcii! infomuiion, terms, amdiiions or
requirements written aUnc. The undersigned undcrsianils and agrees
untkr penalty i»f law that this permit is .y rictly limited in ?coiv to the work,
actisily or improvement spixSfied: that this permit dtxs not grant any
authority todo work or activities requiring separate permit approvals: and
that thK permit docs not grant authority to vioble any provirion of any Gty
ordinance or Stote law. rule or reguhtion. All work .shall be done in Mrkt
compliance with all City ordinances, building ctrdes and/or health
department regubtioas. and shall be subject to inspection, approval or
ejection by the City. Wheneverordered, the undersigned agrees to
correct any work found to be in viobtion of the conditioas of this permit.
TOTAL
State Surcharge:
Total Amount Riid to City
Fee $
Fee S
■'SO
30.S0
Signature of Applicant
This permit is not valid until the proper fee is paid and it is approved
by an authorized City OfEdal.
Signature of City Ofllcial
Oxle: Whiie-nicCopy Canary’—Inspex’tor's Copy Pink—Finance Copy Gold—Applicant ’s Raxripl