HomeMy WebLinkAbout1983-10-11 Permit, Fireplace #7196GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNLSOTA 55333
(612)473-7357
CITY PI RMIT NO.7196
Date lo-ll-fz
Owner__
Contractor
A (612)473-7357 .
AWT aj ? (? . Ixll Adilress
Address
City License No.State License No.
Rf MARKS AND SN C lAL CONDITIONS
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PT.RMIT TYPI ANDFLF:
Inside Plumbing ( # fixtures
Water Meter (Si/e____)
Meter #___________
(OsNFw □addition Grfpair
Foe S,
Fee S.
Remote#
Municipal Water Connection
□ Copper n
Fee S.
Municipal Sewer Connecti«)ii
□ PVC □ Cast Q
Fee S.
MWee SA(' Cliarge Fee S.
On Site Septic System
Water Well
Mechanical Lqiiipnient
Moving/Lifting Buildings
Land Alteration (Fxcavation,
Grading, Filling, etc.)
Other:___________________
After-the-fact Investigation
I ee S
I’ce S
lee ^ (^6.
Fee $
Fee S
Fee S.
Fee S
ACKNOWLEDGEMENT
The under»gned hereby si knotAledges receipt of this UmiUd
permit, including arcepUme of tJ] special infurmation,
terms, < «>ndiUuns or requlrcmenOi urilten sb«ive. The
undersigned understands snd Agrees under penidtv of Uw
that this permit is strlcUv Umiied in scope to the work,
tetUitv or improvement specified, that this permit does
not gr«nt any authonty to do work or activities requiring
separate permit approxals. and that this permit does not
grant authority to violate any provision of any City
ordinance or State law, rule or regulation. All work shall be
done In strict compliance with all City ordlnancea. building
codes and/or health department regulations, and shall be
subject to Inspection, approval or refection by the City.
Whenever so ordered, the undersigned agrees to correct
any work found to be in violation of the conditions of
this permit.
itunh.Signatij^rc ol Applicant
TOTAL
State Surcharge
Total .Amount Paiil to City
Fee S
Fee
This permit is not valid until the proper fee is paid and
it is approved b> an authorized City OfTicial.
( ixk ^liitc t ile ( upy Canary m ir *s Copy Hnii; I inante Copy (■ dd* Applkant^ Receipt