HomeMy WebLinkAbout1986-01-31 Permit, Fireplace #8321I
L I
GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
Owner Itth ___________
ContractorChgi 0 la ^
City License No_____------------------
REMARKS AND SPECIAL CONDITIONS
_________^ A) <Lir y fi
.h'
■f
CITY PERMIT NO.8321
Date /- 2/- Si.
Address ^ ^ C ke l. ^
lac
Address ^ ^ . /yia
State License No________________
PERMIT TYPE AND FEE:
Inside Plumbing (#fixtures __)
Water Meter (Size__)
Meter# ______________
□ NEW IB^DDITION □ REPAIR
Fee $
Fee S
Remote #,
Municipal Water Connection
n Copper f~l
Municipal Sewer Connection
□ PVC □ Cast Q
MWee SAC Charge
On Site Septic System
Fee S
Fee S
Fee S._
Fee S_
Water Well
Mechanical Equipment
Moving /Lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Fire
Sprinkler System (Fire)
Other:.____________
After-the-fact Investigation
Fee S
Fee i 30
Fee $____
Fee S____
Fee S
Fee S
Fee S
Fee S
ACKNOWLEDGEMENT
Th« undenisned hereby ecknowlcdgee receipt of this limited
penniii Includlnt acceptance of all q>eclaJ information,
ierma, conditions or requirements urdtien above. The
undeieigned understands and agrees under penalty of law
that this permit is strictly limited in scope to the work,
acUviiy or improvement ^tcifled; that thU permit does
not grant any authority to do work or activities requiring
separau permit approvals; and that this permit does not
grant authority to violate any provision of any City
ofilinance or State law. rvile or regulation. AH work shall be
done In strict compliance with all City ordinancas, building
codes and/or health department regulations, and shall be
sublect to inspection, approval or reiection by the City.
Whenever so ordered, the underslgiied sgrsai to correct
any work found in violation of the conditions ol
this permit
TOTAL
State Surcharge:
Total Amount Paid to City
Fee S SO
Fee
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Signature of City Official
'^4^ 5r
Code: Whltn -f Oe Copy Caniry-InHmctor'f Copy Fink-Fingact Copy Gold-Applkaat't Receipt