HomeMy WebLinkAbout1986-06-07 Permit, SAC #8548GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY. MINNESOTA 553:3
(612)473-7357
Owner `)r ' I `� L1 L t Lr L
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Contractor A- t . L v _-
City License No. OIL
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REMARKS AND SPECIAL CONDITIONS
CITY PERMIT NO. 8548
Date � I/./
t
Address l �i �,JI C's C, Il -t
Address
State License No. (J u t I h rA—U-x y I
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PERMIT TYPE AND FEE: I NF.W ❑ ADDITION ❑ RI IrAIR
Inside Plumbing (41fixtures_1 Fee S lWatrr Ncll
Water deter ISise_1 Fee S -__ Mechanical Equipment
Meter/
Memotted 1 \luring ILiflingBuildings
Munrtipal water Connection Fee S _ _ __ Land Alteration (Excavation.
[Copper n (trading. Filling. etc.)
Municipal Sc% r Connection Fee I ire
❑ PVC ❑(-ast rl-. tipnnklel S%�Ie.11 IFlrel
MWCC SAC Charge Fee S (nl,er
-s�
On Site Septic System Fee S Attrr•thr-I lel Investigation
ACKNOWLEDGEMENT
The und.rogn•d 11—ht e, kn...:.dp. —tpl of thn 11—ted
yelntlt. including —Pt— 'd .11 .p.rral minnnaunn.
"Vu1r. m.nU ."I"ab. e. The
end. rogn.d .rude"land. and .u... und.r P—SAV al la.
Ib.t th,, permit :. tint Uy 11m1Ud In .cope to the wurlt.
s.b.tly r.+ 4npro..mmt .pntfled. that flit. permit dues
n..l giant an. autl-rlty In do %urk or ac U.Itlaa "Quinn{
..pante peen It a.rpro, ala, and that Nu permit dues not
{rani vu Utonly to violate any protlelun of any CIN
.xlhllal.ce nr %I.t. 4a. rule m "galallun. AO murk h.0 he
dune In .tn.t rompharue .1th 10 Clty ordinance., ti i.1"g
rodes tmdlor health departraent "N4Uon:, and .hall be
eublect b lr"pec Uae, gppe.»al of "MrYoa by the City.
Wheae.er w -doped. the undersigned q"eo to aur"ct
an•. swIt f.wnd to be . .Iolati— ul the eon fill .m of
thl. pemtlt.
MII A plicanl
t i
TOTAL
St.ite
OTAl-
Fee
S
Fee
S
Fee
S
Fee
S
Fee
S
Fre
S
Fee
S
Fee
S
State Suriharl:e. Fee S �l
Intal .%mount Paid to City Fee S i�
i
1111, pennit is not valid until the proper fee is paid and
It a approved by an authorized City Official.
Signature City Official
Ca k NUM- Hk Can clary - Impectag'g can Matt-Flluaa Copy COM-ARNMtlt R&*t