HomeMy WebLinkAbout1986-10-03 Permit, Fireplace #8706GENERAL PERMIT
CITY OF ORONO
CITY PERMIT NV 8706
P.O. BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612)473-7357
Date "’SU
Owner lih /T/^e/n 'eJkji
Contractor
City License No.
Address
Address
City _
C\ ■
REMARKS AND SPECIAL CONDITIONS^-S
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PERMIT TYPE AND FEE:
Inside Plumbing (^fixtures _
\Mtter Meter (Size___)
Meter#__________
□ NEW
Fee $
□ ADDITION □ REPAIR □ REMODEL
Fee $
Remote#
Munid|ial Witer Connection
□ Coooer □___
Fee $
Municipal Sewer Connection
□ PVC □ Cast □
MWCC SAC Charge
On Site Spetic System
Fee $
Fee $
Fee $
Water Well Fee $
Mechanical Equipment Fee $
Fireplace/Wood Stove Fee $
MoNing/Lifting Buildings Fee $
Land Alteration (Excavation,
Grading, Filling, etc.)
Design Review
Fee S
Fee $
Firp F p ^ .t
Sprinkler System (Fire)Fee S
OrhiH-.f
After-the4act Inve^igation Fee $
TOTAL
State Surcharge:Fee $
Total Amount Raid to City Fee $
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ACKNOWLEDGEMENT
The undtfMintd heftb> tcknowleitfcs recdpl of this Itmiled pcnntl.
intludini aarpcinor nC alt sfvcial infonnatiofi. Itnm. conditions or
requirrments wntvn above. The undersi|Ened understands and aficts
under pmali> nl law that this permit is stnctly limited in to the wtirk.
acti\it> (H impnnement speciTutl that this permit dues not grant an>
authontv to do work or activities ftquinni vpaiaie permit approvaK: and
that ihtv permit does not grant authority lo violale any pmvision ctanv City
ordinancY or Stale law . rule or irgulation All work shall he done in strx't
compliance with all City ordinances, building auks and/or health
depanment regulatiom. and shall he suhfeci to inspecinm. appmval or
a*jecUon hv the City ^hTiencver so ordered, the undersigned agrees to
cxvrreci any wivk fiHind to he in violation ol the amdiuom of this permit
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This permit is not valid until the proper fee is paid and it b approved ^ >
by an authorized City Official.
Signature Applicant
Z/iJi'i/u^ /Pl/AL Signalktt|rc^^iity Official
( txJe While I lie Copy Canary- Inspeclor’s Copy Pink f inaiKT Copw (kdd -Applicants Receipt