HomeMy WebLinkAbout1987-04-30 Permit, New Sewer Connection #8985GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAX MINNESOTA 55323
(612) 473-7357
Owner �C—BE-C-c A Addrms
Contractor fVX to, Address
City l.iocnk No. _--- Citv
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE
Inside Plumbing Ofixtures _)
Water Meter (Sire —)
Meta p
Renx)w M
Municipal Water Connection
O Copper Cl
Municipal Sewer Conncxctkm
❑ PVC ❑ Cast ❑
MWCC SAC Charge
On Site Sprue System
ACKNOW I-FDGFMFNT
❑ NEW
Fee S
Fee S
❑ ADDITION
_—_ I Water Well
Fee S — — --
Fee S
FCC S
Fee S
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Signature of Applianl
CITY PFRMIT N° 8985
Date — — � ` j,
❑ REPAIR
Mechanical Fyuipmem
Fireplace/Wixxl Stove
Moving/lifting Buildings
Land Alteration (Exavation,
Grading, ; ll,t':
Design Review
Fire --
Sprinkler System (Fire)
Other. _
After -the -fact Investigation
TOTAL
Slate Surcharge:
Total Amount Paid to Ci1v
,
❑ REMODEL
Fee S
Fee S
Fee S
Fee S
Fee
S
Fee
S
Fee
S
Fee
S
Fee
S
Fee
S
Fee s -5D
Fee $ S•. -5
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M an authonnd C•itc Official.
of City Official
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