HomeMy WebLinkAbout1985-11-23 Permit, SAC #8208GENERAL PERMIT
CITY OFORONO
po-BOX01
(-RYSTAL BAY. b11K\
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Owner ------
Contractor
Cit) License No.
RI -MARKS AND SPECIAL CONDITIONS
Pl'.RMIT TYPE AND FF.F
til N
hwde Plumbing 4Otixturrs-1
cl Ty PI• RMnT No.
ti„II�
Date
Address
Address
Statt: License %0.
❑ ADDITION ❑ REPAIR
Fcc $ _ -—Iw'a1tr Well
Water deter ISice _-►
I•rr �
deter#
Remote
Municipal water Conn tion
❑(-Opper
Fee 5
\lunicipal SCu
ewrr nnectinn
0 PVC- ❑ C-a.t [1_—
Fee 5
\1WCC SAC charEe
On Site Septic SII stem
Mechanical Equipment
Sloving,'Lifting Buildings
Land Alteration (Excavation.
Grading. Filling. et"
Fee 5 --
ACKNOWLEDGEMENT —
ACKNOWLEDGEMENT
The undentgn.d Manna .rinur Mdp• rrrgDl ul this limited
p.rmll. including .ccept•naa " f .y.dJ allorm.tlun.
tom., eundlunne w nqulnm.ny rntt.n .bo.e. Thr
done
und•d und.nt.uit and .gree. under pendia of �r
the I permit t ■talc dt Ilmltrd In .cope w the 'wk'
as tl.lt .0 bnprov.lhenl .p.clll.d, that WIs We""trin
n.d grant An%%.IrDrotJ•^ end 1h.t wV De rm It do.s not
want V Permit HnA.W .nV prottllun of .n• C•ltt
grant alhont /�
wdn.nct or tint• punt• rllb r&a l`It oordln.nce.. budding
dune M .trlct c.un Mian .nl r. tul.Uune..od .hall be
cud.. .ndlnr h.Jtb drDart-- .r r.1.Cuorn by the Cit.
eubMcl to b,rp.cum. sopr.r.J .d mall" to cone.'
Wb.ne• w .rd.red. the n✓' ul the eaedlUom of
.nr Iwnd W be
e Ilj
. 4of Ati_ . A, ttl t
6tuP
CC _
irc
FeeS
----
Fee
S
Fee
S-
-Fee
S
Fee
_
Fee S
Sprinkler System IEirel T
fr
( Fee S '
thea...
M7lire -I1k Cop) Canso - tn+pcctot-+iupl
I Investigation Fee 5
101AL
Stair Surcharge: Fee S
Total Amount Paid to City Fee S
This permit is not valid until the proper fee is paid anc
it is approved by an authorized City Official.
Signature of City Oflj itd
pink I tn.n.e Cop) G0M-APPK=W%1rifP4