HomeMy WebLinkAbout1983-10-11 Permit, Fireplace #7197GENERAL PERMIT
CITY OF ORONO
*■
( I I Y IM KMIT NO.719?
I'.O.BOX 66
C RYSTAL BAY. MINNl SOTA 55323
(612)473-7357
Owner
Conlraclor
"Adclrc
Address
City License No.State License* No.
RI MARKS AI>I) .SPI (lAL C ONDlilONS
tyLPlaH il ■/nsofioh^ 7b
PI RMITTYRI ANUFLK:
Inside Plumbing) # fixtures
Water .Meter (Si/e i
Meter §___________
W
-)
NLW □aodition D ripaik
_________ On Site Septic System
Fee S.------------ w ater Well
l ee S
Remote #
Municipal Water C'onnection
OCopper n
Fee S.
Municipal Sewer Connection
□ PVC □ Cast Q
Fee S.
MWee SAC Giarge Fee S,
Mechanical l.(|uipment
lee S
lee
Moving/Litting Buildings
Land Alteration (I xcavation,
(trading. Filling, etc.)
I ee S
I ee S
Other:.
After-the-fact Investigation
I ee S
Fee S
ACKNOWLEIK'.KMtNT
The underktgfied hereby erknovkledgrt rrrript of ihig Umited
permit tnrludini M>reptanc« of all ipecial infomiAtlon.
Urmt. condlUnni or requlrtmenu Mriltrn above. The
undemgned undertUinda and agr*#t under penalty of law
that thia permit la atriclly limited ut acope to the worii,
acUvitv or improvement tpeclfled; that this permit doea
not grant any authority to do work or acuvitiea requiring
•eparau permit approvala. and that thla permit doea not
grant authority to vi«jlate anv provtUon of any ntv
ordinance or SUU law, rule or regulation. All work ahaO be
dune In atnet compUanre with aU City ordtnancea. building
codes and/or health department regulationa. and diall be
lubiect to Inapacuon. approval or lefectton by the CItv .
Whenever ao ordered, the undersigned agrees to correct
any work found u> be in violaUcHi of the rondidona of
thu permit
TOTAL
Slate Surcharge:Fee S
Total Ajiiount Paid to City Fee
this pennit is nol valid until the pioper fee is paid and
it is approved by an authorized City Oflicial.
Signjj^yi. »)f ( it\ OfftCl
(odo Whilf I ikr ( opy ( jnar> liiapet lur't Cupy Pink I inance ( opy <»okl Apptkant'v tcvcip!