HomeMy WebLinkAbout1982-10-26 Permit, Fireplace #6858GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owner,WiA
Con tractor C> lOVA
City License No..
CITY PERMIT NO.' 6858 '
Date,I 0" ^ (q —
Address.
Address.
I ^£^4 T')t^ldoQ P^dlC QA
REMARKS AND SPECIAL CONDITIONS
State License No.
-<4-2-
PERMIT TYPE AND FEE: jfsfNEW □ ADDITION
Inside Plumbing ( # fixtures___) Fee $_______
Water Meter (Size___) Fee S_______
Meter #_____________________
Remote #
Municipal Water Connection
D Copper D-----
Fee S.
Municipal Sewer Connection
□ pVC DCast Q.
Fee S.
MWCC SAC Charge Fee S.
□ REPAIR
On Site Septic System
Water Well
Mechanical Equipment
Moving/Lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Other;._________________
After-the-fact Investigation
Fee S.
Fee S.
Fee S_(3^-e-
Fee S--------
Fee S_____
Fee S.
Fee S,
ACKNOWLEDGEMENT
The undersigned hereby acknowl<fdges receipt of this limited
permit, including acceptance of all special Information,
terms, conditions or requirements written above. The
underdgned understands and agrees under penalty of law
that this permit Is strictly limited 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 SUte 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.
Signature of Applicant /
TOTAL
State Surcharge:
Total Amount Paid to City
Fee S /
Fee S
This pemiit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Code: Whlte-rUc Copy Canaiy-lnspcctor’s Copy Pink-nnance Copy Gold-Applicant's Receipt