HomeMy WebLinkAbout1984-11-20 Permit, Fireplace #7723GENERAL PERMIT
CITY OF ORONO
CITY PERMIT NO.7t23
P.O.BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612)473-7357
Date
Owner
Contractor—^—
Address c^F7/ /€?V
City License No.
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State License No.
REMARKS AND SPI CIAL CONDITIONS
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77
PERMIT TYPE AND FEE: □ NEW □ ADDITION □ REPAIR
Inside Plumbing (#fixturcs —.)Fee $
Water Meter (Si/e —)
Meter#_______
Fee S_
Remote if
Municipal Water Connection
D Copper n
Fee S-
Municipal Sewer C«)nnecti»)n
□ PVC □ Cast Q
MWee SAC Charge
Fee S
On Site Septic System
Fee S
Fee S.
Water Well Fee $
Mechanical Eipiipment
Moving /Lifting Buildings
Fee %
Fee S
Land .\ltcration (Excavation,
Grading. Filling, etc.)
Fee $
F'ire
Sprinkler System (Fire)
Other;_____________
After-the-fact Investigation
Fee S
Fee $
Fee S
Fee $
ACKNOWLEDGEMENT
The ufi^nigneil h«i»by •cluiowttdai»« rvee^t of tlilt ttmtUd
pennii« jneinding acetgtoiiee of hD tafotmatloii,
ieims, ccMUlltftoiia of itquirein«fili wiititii AlMwt. The
iinilfnignTi iuid»r«t*ndi and agiwot undtt pMiattr of low
ihot tido ponnli ii •trielly Umitod in icog« to di« wotli,
acUvitir or iinprov»in«fil gp^ifled; diol Alt pomiit dons
aty» garni ony authority to do worh or ortivtiiot loquMnd
«tpnrot0 iterwit opprovtlt; and that IfcU pofmtt dom not
gront nudioilly to vtoUlo anv groHdon ol «iy City
ordhuMcc or %%mi» Uw. role or roguUllon. AS wotli dinS bo
dont in Btrict compliomo widi oB City ordlnMinoB, bnildtng
eodu Md/ot hooIBi doportmont mgiBlntloM. «mI duS bo
nibjoci to fnopf^tion. appfovot or ptfooilon by dr# City.
Wbonovtr to or ^^d. dio nndoNtgnod odPOOi to ronoot
•ny x*ori found u» bo in ^iolnfion of dir rondidoM of
fhiB prrDul,
Sign^ire of Applicant ^
TOTAL
State Surcharge:Fee t 0
Total Amount Paid to City Fee I
This permit is not valid until the pn^r fee it md
it is approved by an audtofued City Official.
Signature of City Official
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