HomeMy WebLinkAbout1986-10-29 Permit, New Sewer Connect #8760GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL. BAY, MINNESOTA 55323
(612) 473-7357
CITY PFRMII N? J760
Date
Owner _—S�Sd Address ix/o 5
Contractor tti.a , Addrm
City License No. ,r 0 7(4 _ City
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE:
Inside PlumNng Ofixtur(s —)
Water Meter (Six )
Meter p
Remote #
Municipal Water Connection
NEW
Fee S
Fee S
Fee $
❑ Copper ❑ _ _
Municipal Sewer Connection Fee S'
XPVC ❑ Cast ❑
MWCC SAC Charge Fee S
On Site Spetic System Fee S —_
ACKNOWLEDGEMENT
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inlulnM augaamr of all %ramal mnornumm, tc m%. %,nxhhom it,
wtiwm enn wntrn ahow TV undmiltnd unilmunl, ark] arrm
umkr rrrult% rel law hmn•J in uorr In thr work.
artnn% it impmu•rm-nt %Mtfu 1. that this permd dtx� ma rant am
awhrmt% hrJo u r a\ rn um nta reywnrtp rrrna• rmm� aprro%al•. and
Ihot Ihn rrnna Jnr m a gnm uulhtmt t to %rrrlar am pnnwtm ,rant (l1%
iw insme ar Sur law rule or mauhrwm %II wrak %hall h• l\Nlf m imt
ornpinmv with all Cm wilinamt, hwidap uak% aral it, h%uxh
Jeryrlment rrrulahrm. and %lull h• %uhlnt to m%pn'mm. ■nwnal or
risiminm h% the (lit w'hewwr .o ordere& the unlrnrrnrd arn•%s, In
(mitt am work hKinl toter to %udamm d thr %,ahwm.of this rrrnra
tlu of tynt
❑ ADDITION ❑ REPAIR
Water Well
Mechanical Equipment
Fireplace/Wood Stove
Moving/lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Design Review
Fire
Sprinkler System (Fire)
Othct•. -
After -the -fact Investigation
TOT41
❑ REMODEL
Fee
S_
Fee
S_
Fee
S_
Fee
S
Fee
S —
Fee
S
— Fee
S_
Fee
S
— Fee
S _
Fee
S —
State Surcharge Fee S ' S
Total Amount hi%1 to City Fee S
This permit is rxu valid until the proper fee is paid and it is approved
by an authomcd City Official.
City
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