HomeMy WebLinkAbout1986-06-11 Permit, SAC #8514GENERAL PERMIT
CITY OF ORONO
1t)S. I AI BAN. %IINNI.SOTA 55323
16121473.7357
Owner ND/1 L
contractor
City License No.
REMARKS AND SPECIAL ONDITIONS
<�ry-� t c, air, -
CITY PERMIT NO. 8514
Date
Address ��? 7 I -J rc GLC
Address
State LiLense No.
4-11—
PERMIT
.a'-11
PERMIT TYPE AND FEE: ❑ NFW ❑ ADDITION ❑ REPAIR
Inside Plumbing (riftxtures_) Fee S
Water Well
Fee
S
Water Meter (Site_) Fee c —
—
Mechanical Equipment
Fee
S
Meter#
Moving !Lifting Buildings
Fee
S
Remote 1
Fee S
Land Alteration ( Excavation.
Fee
S
Municipal Water Connection __ __
Grading. Filling. ctc.)
❑(opper n
Municipal Sewer Connection
❑ PVC ❑ Cast
MWCC SAC Charge
On Site Septic System
ACKNOWLEDGEMENT
Fee S _- - -
Fire Fee S
❑__ Sprinkler System (Fire) Fee S
Fee S ther.
Fee S
Fee S After•the-fart Investigation Fee S
Th• unJ.ruan•d hereby s, i--- fl-iVt u1 this limited
p•rmtt. Ln-w4lna s«ePtsn<e nl W W-1-1 informsUnn,
terms, <ond UUm .a n.twnmerrts wditen Ib..ee. rh•
und•nten•d und•nt—ds cad IaRer under p.nalty at Vsc
thst MU p•rmtt n Itn<Uy hrntted to scop. to Ne .art.
K Uyi IT .a Impru.•ment syecifwd. )het UUI Wrestt days
n.a pvtt Y.s eu4unty to da rvt as "U"Ues requifts
rVarsle p.mUt sporu.sls. Ind tfst stay Innis days pot
arsnt suthc.nty U. spot" J..
say pr-tsi..n of any City
.adinsn<• ar ♦tst• Is., rvl• nr r•pJ.U.n AU KWh dtsa h•
d.me in nn. t <um Pll"— rUs
h sU ( m ndAnncys, bulldms
.odes sad ..r h<Jth d.PUtm•nt t•tulsbnns, Ino IhsU M
vubn<t to 1A—U—. Ippn.•J .a nw<Uan by th• llh
Nh•nr. er w ..rd•re 4. Ute—1—ten•d seises b. .omct
1—nd - tr .n .UJAU..n ..f the <und1U..n. .J
Ili.. p•rrnll.
Sipnaturr til Apph-int
TOTAL
State Surcharge: Fee S
Total Amount Paid to City Fee S y7��
l his permit is not yahtl until the proper fee is paid and
it is approved by an authorised City Official.
Signature yf City
C1 e4c-�,, (H> t )
code: %'hire - I de copy caner) - Inspector's copy — Pink - I inaace Copy _ Gdd-APPkrti RtlodOt