HomeMy WebLinkAbout07-18-1984 Permit, Mechanical #7521GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357 tCcfriA
CITY PERMIT NO. _ 7521 '
Date
Owner
Conti, ctor
City License No..
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State License No.
RKMARKS AND Sl'tCIAL CONDITIONS
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PERMIT TYPE AND FEE: /Q-N£iV^
Inside Plunibing ( # fi.\tiires___) Fee S,
Water Meter (Size____) Fee S.
Meter
Remote #
Municipal Water Connection Fee S.
□ ADDITION □ REPAIR
On Site Septic System
Water Well
Mechanical Equipment
Moving/Lilting Buildings
..opper
Municipal Sewer Connection
□ PVC □ Cast CL
Fee S_
MWee SAC Charge Fee S.
Fee S.
Fee S.
Land Alteration (Excavation,
Grading, Filling, etc.)
Other;.
Fee S Q 0 .Of)
Fee S_________
Fee S_________
Fee S_________
After-the-fact Investigation Fee S
ACKNOWLEDGEM ENT
The undersigned hereby acknowledges receipt of tills limited
permit, including acceptance of uU special information,
terms, conditions or rcQulrements written above. The
undersigned understands and agrees under penalty of law
that tills permit is strictly limited In scope to the work,
activity or Improvement specified; that Oils permit docs
not grunt any authority to do work or activities requiring
separate penult approvals; and tiial Uiis permit does not
grant auUiority to violate any provision of any City
ordinance or State law, rule or regulation. All work shall be
done in strict compliance witli all City ordinances, building
codes and/or health department regulations, and shall be
subject to inspection, approval or rejection by Uie City.
Whenever so ordered, the undersigned agrees to correct
any work found to be in violation of Uie conditions of
tills permit.
Signature of^pplieapt
TOTAL
State Surcharge:
Total Amount Paid to City
Fee S...Ol
Re
This permit is not valid until the proper lee is paid and
it is approved by an autliorized City OITieial.
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Code: Whitc--I ile Copy Canary - Inspector’s Copy Pink“l inancc Copy (lold-Applicant’s Receipt