HomeMy WebLinkAbout11-14-1986 Permit, Plumbing #8788Owner
GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612)473-7357
L-Ck^nc^m Ctudt •
CITY PERMIT N9 8788
Date
Contractor.
City License No.-fk^ ! (p ^f
Address
Address
City _
I22/)I JM-1-kcLp.lJ^ ^
REMARKS AND SPECIAL CONDmONS
PERMIT TYPE AND FEE* ^ NEW
Inside Plumbing (#fixturet^&) Fee $
Water Meter (Size___) Fee $
Meter ^_____________________
□ ADDITION □ REPAIR
Remote #
Munidpai Witer Cbnnection
□ Copper □ ____
Munidpai Sewer Cbnnecdon
□ PVC □ Cast □
MWee SAC Charge
On Site Spetic System
Fee S
Fee $
Fee $
Fee S
\Vbter Well
Mechanical Equipment
Fiicplacc/Wood Stove
Moving/LirUng Buildings
Land Alteration (Excavation,
Grading. Filling, etc.)
Design Review
Fire_______________
□ REMODEL
Fee $ _
Fee $ _
Fee $ _
Fee $ _
Sprinkler System (Rr^
Other •J.
After-the-fact Investigation
Fee S_ _ _ _ _
Fee $_ _ _ _ _
Fee $_ _ _ _ _
Fee $_ _ _ _ _
Fee $ I •
Fee $_ _ _ _ _
ACKNOWLEDGEMENT
The undcfMgncil hereby acknowledges rca-ijH ibis limited permiu
tncludtf^ aarpiance of all special informalion. icrms, a>ndiiions or
rcquircmenls uritien above. The undeisipned understands and agrees
under penalty of bvv that this pamil issirictly limited In fcope to the work*
activity or improvement sjroficd; that this permit docs not grant any
authority todo work or activities requiring wparatc permit approvals: and
that ihisprrmitdocsnoigrantauthoritytovioiatcany provision ofany Gty
ordinance or State law, rule or rcgubiion. All work shall be done in strict
compliance with all City ordinances, building axles and/or health
department regubtions. and shall Iv subject to inspcaion. approval or
rejection by the City, Whenever so ordaed, the undersigned agrees to
correct any work found to he in viobtion t>f the amditions of this permit.
TOTAL
State Surcharge:
Total Amount Riid to City
Fee $___/■
Fee $
This permit is not valid until the proper fee is paid and it is approved
by an authorized City ORidal.
Signature of Applicant
fn^
X
Code While—File Copy'Canary—Inspector’s Copy Pink—Finance Copy Gold—Applicant’s Receipt