HomeMy WebLinkAbout1987-03-29 Permit, Fireplace #6966GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
Owner
Contractor
Lo>/vA eg t>o»w
City License No.
REMARKS AND SPECIAL CONDITIONS
Address
Address
CITY PI RMITNO. ~ 6966
Date 3 -/9<7 '^-7
7> t SS" C a^o Cl !?c L g..
State License No
IT RMITTYPF AND FEE:□ NEW J^DDITION □ Rt; PA IR
Inside Plumbing ( # fixtures )Fee S On Site Septic System
Water Well
Fee
FeeWater Meter (Size i Fee S
Meter #
Remote# .Mechanical Equipment Fee
Municipal Water Connection Fee S Moving/Lifting Buildings lee
O Copper n Land Alteration (Excavation,
Grading, Filling, etc.)
Fee
Municipal Sewer Connection Fee %................
□ PVC □ Cast n Other: .. l-et*
MWee SAC Qiarge Fee -After-the-fact Investigation Fee
ACKNOWLEDC.LM ENT
Tht und«rsttn«d hereby erknowledgef receipt of this limited
permit, ificlucUDg AcetptAhee of aO fpeciai informAiion*
Urmt, conditions or requirements wiUten shove. The
undersigned urMlcrttsnds snd sgrees under penslty of Isw
thst this permit is strictly limited *n scope to the work*
scUvity or improvement ^eclfled, Uist this permit does
ncM grant sny suthority to do work r sctivitics requiring
eepsrste permit spprovsli. snd ths* ;hU permit does not
igrsnt suthority to vioisie sny provision of «iy City
ordinsnce or Slate Isw, rule or regulstion. All work shsU be
dune in strict complisnee with sll City ordinimees. huildkig
codes and/or health department regulaUoAs, and ihaB be
n«biect to inspection, iu>provsl or leiectton by the City.
Whenever so ordered, the underiigBtd sgrees to correcl
any mink found to be in violsUon of the conilitic»na of
Iliis perwiiC
Signature af Applican
TOTAL
Slate Surcharge;
Total Amount Paid to City
Fee S
ZO.o
Fee S ^
Fee
This pennit is not valid until the proper fee is paid and
it is approved by an authorized C ity Otficial.
Signature of f>fricia
Cudi HU» I Setup)C'aAU)' (V»p)Pfaiii I w«iH« r<>^(rtdd Swept