HomeMy WebLinkAbout1986-05-05 Permit, Mechanical Gas Furnace #8453GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 5532:1
(61?) 473-7357
(N ner
I)IC-t
* 7
Coll.ractor r
('it\ I.icense No. _
9—
RFMARKS AND SPEC IAL CONDITIONS
PERMIT TYPE: AND FIA
In%ide Plumbing 10ixtures
❑ N1:W (.ADDI'I RA
Water Meter (Site __) 1 �•
Meter #
Remote I
Municipal Water Connection Fcc S_
❑Copper Q�
Municipal Sewer Connection
❑ I'B'C• ❑ Cast
Nt«( C S -V Charge
Oil Site Septic; Sy stem
ACKNOW'LEDGLNILNT
Fee S
_._.
Fee S _ __
The undersigned herrbv acMnoicledttes receipt of this hrnite,1
permit, including acceptance of all special information,
terms, conditions or requirements «ritten above. Thr
undersigned understands and agrees under penalty of law
that this permit is strictly limited in scope to the work,
activity or impro%ement specified: that this petrnit does
not grant anv authority to do work or activities requiring
separate permit appro%als. and that this permit does not
grant authority to viotate an%- provision of ani• City
ordinance or State law, rule or regulation. All work shall be
done in strict compUance w•itli all City ordinances. building
codes and/or health department regulations. and shall bo -
subject to inspection, approval or rejection by the C►t%
"*newer so ordered. the undersigned agrees to correct
any work found it) lot to %-solation of the conditions of
this permit.
Signature of Appij�;xnt
Code White He Copy Canar) htspector'i Copy
7
CIT Y PERMIT NO. 8453
a
Date
e.,
�?
Address go
Address7 S
Stats: License No.
❑ 1Z I'AIR
NV r 11,•11
Mc' 11,1111".11 1--4I111pilrelit
oving /Luting 111.111dings
Lanni Alteration ( Excavation,
Grading, Filling. etc.)
Fee S _
Fee S -5-,
Fee S
Fee S
ire Fee S
nnkler System (Fire)
Fee S
her: Fee $
tier -the -fact Investigation
I01Al-
State Surcharge:
Total Amount Paid to City
Fee $ I
Fee
Fee
This pennit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Sign- re of City tidal
r
-<<-4
I
Pink finance Copy Gold - Applicant's~ Receipt