HomeMy WebLinkAbout1986-03-12 Permit, New Fireplace #8384GENERAL PERMIT
CITY OF ORONO
CITY PERMIT NO,8384
P O.BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612)473-7357
Owner
Contractor ,
City License No.__
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Address /:) _____
Address *^~7^ / c TL-t ,7>l^
State License No.
REMARKS AND SPECIAL CONDITIONS
□ ADDITION □ REPAIR
Inside Plumbinf (Ifixturcs
_)Water Meter (Si/e
Meter#
Pee S
Fee S
Remote#
Municipal Water Connection
DCopper n
Fee $
Municipal ScMer Connection
□ pvc 0(051 Q
MW( c SAC Charge
On Site Septic S> stem
Fee $ —
Water Well
Mechanical Equipment
Moving /Lifting Buildings
Fee S
Land Alteration (Excavation,
Grading. Filling, etc.)
Pec \ 30.
Fee $_______
Fee S
Fire
Fee S
Fee S.
Sprinkler System (Fire)
Other: _________
After-the-fact Investigation
Fee $
Fee S
Fee S
Fee S
ACKNOW LEDGE.MENT
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TOTAL
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Sigiuture ut Apf^'wiiL'r
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Stale Surcharge Fc* S
Total Amoun t Paul to City ftt i
This pcnnil ts noi valid until the progwr fe* ts paid
If Is appiuved by an aulhun/ed City Ofhrtft
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