HomeMy WebLinkAbout1985-10-24 Permit, New Septic System #8142GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
Owner ~
CITY PERMIT NO.8142
Date
Address
Contractor
City License No.
Address /^^ViLK
State License No.
REMARKS AND SPECIAL CONDITIONS
________^ ~/C>VO ^ /r>^X.
PERMIT TYPE AND FEE:
Inside Plumbing (#fixtures __)
Water Meter (Size__)
Meter#_____________
ja^JEW □ ADDITION □ REPAIR
Remote #,
Municipal Water Connection
DCopper n
Municipal Sewer Connection
□ PVC □ Cast Q
MWee SAC Charge
On Site Septic System
Fee S Water Well Fee
Mechanical Equipment Fee
Moving /Lifting Buildings Fee
Land Alteration (Excavation, Fee
Grading. Filling, etc.)
Fire Fee
Fpp $
»
Fee S
Fee $
Sprinkler System (Fire) Fee
Other: Fee
After-the-fact Investigation FeeFe.
ACKNOWLEDGEM ENT
Tht undtiilgMd bmby acbnowltdctt ractlpt of tbit limtud
pofBiil, bMludbif occopUnc# of aO ipoeUl bifotmatfoii,
toms, condltfonB or itquiftmtnU wditon abova. Tb#
umiafdfiiad luidaratandi and agraaa undar panalty of law
that fbla paimlt U ttrictiy Umitad In tcopa to lb# work,
activity or lmprov#m#nl ip#ctfl#d; tiiat Ibla patmlt doaa
nol grant any authority to do work or aetivltlaB raqulitnf
aaparat# permit approval#; and that tbia permit doe# not
ipant autiiorfty to violate any provltion of any City
ordinance or Stale taw, rule or regulattooi. AD work abaD be
done bi atiict comptianee nrltb aD City ordtaianeaa, buildini
eodea and/or bealtb dapartinent ragulationa, and diaO be
aubiect to Inapeetion, approval or lafectton by tbe City.
Wbebever to ordered, the undeialined agiaea to correct
any work found to be In violation of tbe condlttona of
Ibla permit.
Signature of Applicant
Fee s
Fee
TOTAL
State Surcharge:
Total Amount Paid to City
This permit is not valid until the proper fee is paid and <
it is approved by an authorized City Official.
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Code tirhilc I lie Copy (anary - Inipector't Copy Fiftk-Hiiafica Copy Goid-AppikanCf Racaipi