HomeMy WebLinkAbout1982-10-12 Permit, Plumbing #6844GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
CITY PERMIT NO. 6844 '
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Owner,
Contractor.Vl/f-Lu^
City License No..t
REMARKS AND SPECIAL CONDITIONS
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Address ^ 0 / RtJ _____________
State License No.
PERMIT TYPE AND FEE: □ NEW □ ADDITION li3^EPAIR
Inside Plumbing ( # fixtures ) Fee
S a/. OO On Site Septic System Fee
Watftr Mfttffr TSiyn Fee Water Well Fee
Meter #Fee
Remote #
Mechanical Equipment
Municipal Water Connection
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Fee S Moving/Lifting Buildings Fee
Land Alteration (Excavation,Fee
Municipal Sewer Connection
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Fee s Grading, Filling, etc.)
Other:Fee
MWee SAC Charge Fee !S After-the-fact Investigation Fee
ACKNOWLEDGEMENT
The undersigned hereby acknowledges receipt of this limited
permit, including acceptance of all special information,
terms, conditions or requirements written above. The
underrigned undersUnds and agrees under penalty of law
that this permit is stricUy Umlted In scope to the work,
activity or improvement specified; that this permit does
not grant any authority to do work or activities requiring
separate permit approvals: and that this permit does not
grant authority to violate any provision of any City
ordinance or State law, rule or regulation. All work shall be
done in strict compliance with all City ordinances, building
codes and/or health department regulations, and shall be
subject to inspection, approval or rejection by the City.
Whenever so ordered, the undersigned agrees to correct
any work found to be In violation of the conditions of
this permit.
Siwijitiuc o^f y^plicaiv
TOTAL
State Surcharge:
Total Amount Paid to City
Fee S.. s5"2?
Fee %ct J'. So
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Signature of City Official
Code: Whltc-Hlc Copy Canaiy-Inspcclor’s Copy Pink-I'inancc Copy Gold-Applicant’s Receipt