HomeMy WebLinkAbout1986-07-23 Permit, Mechanical Furnace #8570TT-
GENERAL PERMIT
CITY OF ORONO
CITY PERMIT NO.8570
Date
P.O.BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612)473-7357
Owner I / hi/ ^ V (
Contractor
Address
Address
o
City License No.State License No.
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE:
Inside Plumbing (#ii\tua-s
_)
□ NEW
<y .. . (VJ:s^) S,-2c-2L_L----
Water Meter (Size
Meter#___
Fee S_
Remote #
ADDITION □ REPAIR
Water Well
Vtechanical Equipment
Moving /Lifting Buildings
Municipal Water Connection
Q Copper Cl------
Fee $_______
Municipal Sewer Connection
□ PVC □ Cast Q
MWee SAC Charge
On Site Septic System
Fee S~
Fee S
Fee S,
Fee $
Fee S
Land Alteration (Excavation.
Grading. Filling, etc.)
Fee $.
Fee $.
Fire
Sprinkler System (Fire)
Other: ____________
Fee $,
Fee $
Fee $
After-the-fact Investigation Fee S
ACKNOW LEDGEMENT
' 1■'r
ThP underilfned hereby ecknowledget rectlpl of thli Umlted
permtt. Including eccepunce of all fecial Inlonnttlon.
teitni. condiUon* or requiremenU wHlten gbov# Tite
undenigned undertunds and agree* under penalty of law
that ihU permit U •irtcUy UmlUd In acope to the work,
activity nr improvement epecifled; that thla permit iwe
not grant any authority to do work or actlvltlai requliing
MP*r«u p.rmu .pptov.1.; and that thU paimit doa. not
grant authority to vloUta any provUdon of any CIW
ordinance or SUie law, rule or regulaUon. AU
done in ■iricl compliance with all City ordinance*,
code* and/or health department reguUtion*. w***
•ubiect to Inspection, approvd or relection by the City.
Whenever *o ordered, the undersigned agree* to correct
any work found to be In %1oUU..n of the condlUon* of
this permit.
I i
TOTAL
State Surcharge:
Total Amount Paid to City
Fee $ /; .^-0 _
This pennit is not valid untU the proper fee is paid and
it is approved by an authorized City Official.
SignajOje^ City Official
( ode While I ile Copy Canal) Lnspecior’* Copy «nk -1 inanca Copy Gold-AppHcttty »««»pl