HomeMy WebLinkAbout1985-12-09 Permit, SAC #8233GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(§1 21) 473--7357
Owner
Contractor
City License No
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEF.: ❑ NEW
Inside Plumbing (#fixtures_) Fee S
Water Meter (Size—) Fee S
Meter#
Remote #
❑ ADDITION
Municipal Water Connection Fee S
❑Copper n
Municipal Sewer Connection Fee S
❑ PVC ❑ Cast El-
MWCC SAC Charge Fee S
On Site Septic System
ACKNOWLEDGEMENT
Fee 5
Thous, , , hereby seltnowledw "coot off fbe Vmlted
PSrmlt, Indudins ao"Issm" of IN well Infoemwon.
eralel emotions or neufr mme Wats." .bow. The
undersigned undentands and gPeu under Mndt7 of low
Shot the oeemit is sWeW Valued In .POPS to the wort,
activity or hnorovement wolfed: Isms " Permit dose
Not puns any wthoor to do work or sesivid" noutiins
esvasae PSrwlt boeoeoe: end that Wk Permit does net
RMS Mthodr so ulnae ars sroyYlon of My Cit#
ardinewAs or VINb low. rue or "Wetiaw. AN work " be
dose In dries eomsWdee with an Qr mrlleMora, bulldee
eede and/or boom dwmtmMt egdNer. and dial be
.oboes to htrpeeOM. agtovd or elnstlon M the City.
srMnever so unkind, the undndswed We" to 9oreel
My work found to be is Violation of the 900411110" of
the Pemdl
CITY PERMIT NO. 82331
Date —� (J , I
A(' C�(�'%'t / i r ( I
Address &§15— ��
Address
State License No.
❑ REPAIR
ater Well
echanical Equipment
oving /Lifting Buildings
Ind Alteration (Excavation.
Grading. Filling, etc.)
re
Irinkler System (Fire)
ther:
iter -the -fact Investigation
TOTAL
State Surcharge:
Total Amount Paid to City
Fee S
Fee S
Fee S 1
Fee S 1
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
This permit is not valid until the proper fee is paid and I
it is approved by an authorized City Official.
Signaturef f City Official
Cude While I ile Copy Unary iepacer-s Cope nak-1•heew Cepr-ApOcawtti RMW