HomeMy WebLinkAbout1984-11-09 Permit, Septic System #7706GENERA. PERMIT
CITY OF ORONO
P.u�ux tit/
CRYSTA1. BAY. MINNES0f' % 4;
it, 1_1373.735 -
CITY IFERMIT NO. 7706
Date &_e7- —,Q I/
Owner 814 k Ke, 031,y -S — — Address *O /�-� ►l�r.N J1r Oe. ry Kr to I�
Contractor � ' ' '�> r�>~ c. •�_ f- ks: Addresc _ Ah -D/n• -4
City License No,
State License No.
REMARKS AND SPECIAL CONDITIONS
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a 1 1 N F 1# 1' / N 7-XrNC-"t-M
PI RNIIT TYPE AND F1 V J�NFW ❑ ADDITION 13RGPAIR
lln,lle Plunlhing IlYtirtuns_ 1 / Fer S _ Waler Well
Wiler %leter (Si.,e._ 1 Fee S -- _ Mechanical Equipment
Meter#
Remote i Moiling %Lilting Buildings
Muniiipil Water Connection Fee S .
❑Copper [L_
MunicipalSmetConnecllon Fee S _
❑ PV(' ❑ t'a.t n �—
MWCC SAC Char a Fee S
On Site Septic S)atem
ACKNOWLEDGLMUNT
nd Alteration IF%cavation.
Grading. Filling. etc.)
Fec S
lice S
Fee S
Fee S
Ire Fcc S
rinkler System I Fire I
hers
Fer S ;tIvr-ihe•lart Imesug.ltion
the—d—anrd h—b/ arknowl.dps te"IPI W this limited
V.mut. Including arc•Plance of aU IPeo1J information.
undlu..n, or npainm.nis retbn ab.n. rise
und.rdaned under.tands and a0re•• under Prnatts of law
the, this Permit Is atieul' Ilmlled In rope to the wook.
.y bn Drw.ment npeedted: that this Pennd dues
-A [rant ans authonR to do work w a ultlivs "quutng
u•Palatr D.rm at
4vPr o. Js: and that W1 Permit duet nut
0,111 aUlf wnte In lulat. an% m—mon of arnv Clts
wrhnanc. nr I.. ..."rule or rrgu4U..n..\U wwl. aha be
d.•n. In strict com1,11"ev with all 1.11/ ordinances. b-ddtna
codes and;"'
MJth d.Dul"tenl tedulauon.. and shall b
nlblert In InsVeceon. aPPnnJ or 1-1—U-, b, the (1..
when"" s. -decal, the und.rden.d .0... to comet
On' ..vk Lund w be in u.UU..n ..f the ro:.dluom of
this "•frit.
Signature pplicant
C. .
C.dc Mldtc I tk ( up) ('angry Ins{.c. tar . Con> Pink I tnan:c Cop)
TOTAL
Fee S
Fee S
S�.
Fre 5 �C7�
State Surcharge 7 Fee Sj
Total Amcxuu Paid to ('its I'rr S 3
This Permit is nut valid until the proper fee is paid and
it is approved by an authorized City Official.
Signature Kritv Ofricial 1 /
Gdd-Applimatti Recdpl .