HomeMy WebLinkAbout1987-06-02 Permit, Wood Fireplace #90341 GENERAL PERMIT
CITY OF ORONO
CITY PFRMIT N® 9034
Owner
P.O. BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612) 473-7357
Dace
|[j X* ).(_*
i Contractor C.O.
Citv License No.<A«y
■J
REMARKS AND SPECIAL CONDITIONS
______! ' /) 7 4 yi r t
PERMIT TYPE AND FEE;
Inside PlumNng (ttfixtures _
Witer Meter (Size___)
Meter#__________
□ NEW
Fee S
Fee $
0 ADDITION
>^ter Well
Mechanical Equipment
Fiicplaa*^WxxJ Stove
□ REPAIR
Remote #
REMODEL
Fee $ _
R» $ _
Munb'pal MVbter Connection
□ Copper □ ___
Fee $
Municipal Sewer Connection
□ PVC □ Oisl □
MWee SAC Charfe
On Site Spetic System
Fee $
Fee $
Fee S
Mo\ing/Lifting Buildings
Land Alteration (Excavation,
Grading. Filling, etc.)
Design Review
Fire________________
Fee S
Fee $________
Sprinkler Svstem (Fire)
Other ___________
After-the-fact Investigation
Fee $
Fee $
Fee $
Fee S
Fee S
Fte S
ACKNOWLEDGEMENT TOTAL
State Surcharge;
riif umkr^^fik'd horrhy lcllnlHlcll^^ uvopi iif ihis limiktl pcimii.
iihiuJinit «.vcpuncr »if all «|wial infiicnulMHi. icnnv condimim <»
rrquircnk*'L5 i^nticn aNnt. The underMgncd underMand^ and agrees
under penally nClau ihaiihis pcrniii is Mrictl> limiied in lothc Hork,
•cti\iiy nr imprmcmeni specified: that ihis (xrmiii dtA> nta gninl an\
aulhoniv lodo I^ork or activities rcquinng Hrptnile permit apprenak and
that this irrmi! tkxs n»< gram authoniy to violale anv pnntMon i^anv (*iiv
ordinance or Stale fan*, nilr or regulation An work vKall he dom- in stnci
comphanct lanh all City ordinances huiklirig uJes and or health
department regulauonv and shall he subject to iRNpcciMirs approval »h
rc|alion by the Ciiy ^k’henever w ordered, the undersigned agrees to
twrcet anv work found lobe in vitiation t4 the condlnor^ i»f this permit
Signature of Applicant
Total Amount Piid to City
Fee $ * ^ ^
Fee $^/O.6<0
This permit is not valid until the proper fee is paid and it is approved
by an authorized City Official.
Signature of Citv Official
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('ode: Vk hilo File Copy Canat) lnspccit)r\ Copy Pink Finanev ('opv Ciold- Apf4icant's Receipt