HomeMy WebLinkAbout1984-11-21 Permit, Mechanical Gas Furnace #7728GENERAL PERMIT
CITY OF ORONO
CITY PERMIT NO.7728
P.O.BOX 66
CRYSTAL BAY. MINNESOTA 55323
(6I2)47.V7357
Date
Owner
A (6l2)47.t-7357 s?^7/
Contractor _ Z.4-L
City License No.
Address
Address
(hj^d mTjf
4 ’H^ AJtOtUd ~ Mph..
State License No.
remarks and SPECIAL CONDITIONS
^- /i^ftLL L ciJ Ofi/) 4u I f\()aa
h~ tiHh Jni^
l~ yihii\Lo i\
PERMIT TYPE AND FEE:□ ADDITION □ REPAIR
Inside Plumbing (#ti\tan*s—)
Water Meter tSi/e —)
Meter#
Fee S
l•■ce S
Water Well
Remote #
Municipal Water Connection E'cc S□(opper
Municipal Sewer Connection
□ pvc DCast Q
MWee SAC Charge
On Site Septic S>stem
Fee S -
Fee $
Fee S.
^lechanical Equipment
Moving /Lifting Buildings
Fee S
Fee S
Fee S
/iCAj
Land Alteration (Excavation,
(trading. Filling, etc.)
Fee S
Eire
Sprinkler System (Fire)
Other:_____________
After-the-fact Investigation
Fee $.
Fee S
Fee $
Fee $
ACKNOWLEDGEMENT
TNr und#rit«ii*d hfiwbif wpknowkdi^t rwctkpl of HiAs lAinilod
tiicludlikt oec^pionc# of ail i^ociol kifoimolloa*
itofint. coiMlIlloiu Of loqMifviiianU wdttoA atevo. Th«
yiidonlinad inkkratonoa aod am— uodar of law
ttiat taUi poBinlt U ftficthr Umitod ia tcopa tolM wotb.
activity m iwptovmgfit ipoclfkad. Ibal iMa iMiaut doa«
Ant ^raat anv aMdicMtty to do monk or acMvIllaf rtquirted
••pwate patwilt aippfovwlt. and teat tela pmawlt doM not
9ant aateoftty to vto&ata mr provtteon of mw City
lAtenanrf or dtnla law. ruW or rafulaUon. Al work teaB W
dona te tlrtrt e«>mplianca wite all CUv ard tean rai , teiildted
andaa and/or Iwaltli danartanant tapila tiona. and teaB tei
Mteaet to taapactlon, apnroaal or itlactten bt tea Cilf*
Wbanaaof ao iwdarad. tea yndarteanod aflwaa to cofract
anv wnrii fwnd to ba in violation of tea eondllialia #»f
teia patwiil
s^ipyturcjjtA^pUcar.t
a
/
TOTAL
State Surchaige:
Total Amount Paid to City
Fee S
Fee
■ SO
This permit is not valid until the proper fee is paid mti
it is approved by an audiorized City Official.
SignatMe of City OtTici
V Ik M fU)
Co4tf nt» fnw < lMf« »e«'i Coa»Pkah i Co»»GoU af^vMI*ll9CWt