HomeMy WebLinkAbout1982-05-10 Permit, Water Meter #6682GENERAL PERMIT
CITY OF ORONO
P-0. BOX 66
C RYSTAI.. BAY, MINNESOTA 553.1.3
(61')473-71157
CITY Pt:Rfvif No. 66821
Date Y'
()V4'r1l'r' �, r 1
ress
('t)ntra tc)r -__ C_ oA Addre,,�
City License No. State License No.
REMARKS ANIS SPLCIAL CONDITIONS
Atli (II), /I/-- sw"
PERMIT TYPL AND I=[.F: IN NEW ❑ADDITION
In%ide Plumbing (# tixtureti... i Fee S
Water Meter'Slzol� x) Fee
Meter
Municipal Water C onnec tI011 E=e
12'Copper Q___
Municipal Sewt:r Connection Fee S
0 PVC L'J east Q______
MWCC SAC Charge Fee S
ACK N, OWLE,DC' I-_"MU,INT
The undertagned herebv ackni►wledgers receipt of this limited
prrmit, inciutilnk acceptance of all %pedal information,
terms, e4,mcdtion* or requiremer►ts written above. The
underttened und4-rstanrl+4 and agrevs under penalty of law
that fts permit is titt•tc UV lirnitted in sco)pt to the work,
+ctivity tr impri.►semrnt vecifird, that this permit dues
nt►t grant any euthonty to do work to activities requiring
se G ara tr yr rm i t app r 4 n al s . and that this pe rm t t does n o t
grant auth ,nt� UP %iolatr an-, protision of anv City
,►rdinanr•e or Mate law, rule .,t rrgulatsun All worlt shall be
d(br►er in strict tonlP ianct with all t it-, ordinanreo, building
codrs and tir health department regulatac►ns and sha11 tar
lubprct to inP-41otb an, approval .,r relet•htrn bv they t'tt%
%heAPver s•r <<rci•rvd, the unrlrmignecd ricers tt.) correct
an** w(wb f,iurl t ter tw of .to,lat.tt►n #►f the c,►ndition,4 )f
to"* permit
Fasnaturc° App11k .i, r
!W& M h t to I ire, t 4 0• f it
Oil Site Septic System
Water Well
Mechanical Fyuipmen t
Mo- .ng/Liftiny. Budding,,
Lan(l Alteration
Grading, I'llfing, eta.)
Fee S
Fac S
I cc S
l- ce S
Other: Fee S
After -the -fact Investigation Fee S
TOTAL
Stite Surcharge,
r er S �(1
Total Amount Paid to City FCe S
This permlt is not vdlid until the,• proper IS 11111d Ind
it is approved by an juthmitcd ("it) Otti.i-d
tiisnatu crt (qty Of1i.iol
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