HomeMy WebLinkAbout1983-11-09 Permit, Water Meter #7238GENERAL PERMIT
CITY OF ORONO
Owner
Contras
City License two.
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FETE: ❑ NEW
Inside Plumbing ( # fixtures_) Fee
Water Meter (Siz Fre
Meter #
Remote # CIA 1 &_3 of
Municipal Water Connection
❑ ADDITION
S
Fee S
❑Copper Q
(Municipal Sewer Connection Fee
❑ Pvc ❑ cast Q
MWCC SAC Charge
ACKNOWLEDGEMENT
S
Fee S
The u ndersi/wed bete by admow ledW meeip t of " Um itsd
Permit. lnelndit &eCeptarlee of aU ape" information.
kmk condi11ions of requir mmSs written &bows. The
underd/ned and rounds and 009" under penalty of taw
that dd& permit is strle dy listited W scope to tlns work.
activity Of imPfeveansnt specified: that *As parmit does
not pant awe authority to do wart or activities requiring
sapants peewllt &plsovals: and that tib peewit doss not
pant authority to vitiate grey provision of any city
Ordinance or 3t&8e law. rule or regulation. AN work skail be
done in sbkt eowpbance with all City or&nanaw. bugdhW
codec and/or kedsh departsnsnt NOW&tions. and shall be
subl"t to 1 C111001, approval Of releetiow by the City.
Wb@B*ver so ordered. 11110 underdowd foram to correct
awy waft found to be in vlolation of the con&Uons of
" permit.
ddress
ddress
CITY PERMIT NO. 72391
Date
State License No.
❑ REPAIR
On Site Septic System
Water Well
Mechanical Equipment
Moving/Lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Fee S
Fee S
Fee S
Fee S
Fee S
Other: Fee S
After -the -fact Investigation
TOTAL
Fee S
State Surcharge: Fee S
Total Amount Paid to City Fee S 7S-. ab
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Signaof City Official
Code: White Fike Copy Canary Insprctier's Copy rink Finance Copy Gold Applicant's Receipt
42)