HomeMy WebLinkAbout1987-06-23 Permit, Sewer Connection #9076GYRAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owneroe
Contrnctor
City License No.—i—
REMARKS AND SPECIAk. CONDrI IONS
L
PERMIT TYPE AND FEE:
Inside Plumbing (#fixtures �)
Water Meter (Size —)
Meter #
Remote # --
Municipal
_
Municipal Water Connection
O Copper ❑
M Sewer Con on
❑ Cast ❑
MWCC . AC Charge
On Site Spetic System
ACKNOWLEDGEMENT
O NEW
Fee S
Fee S
cin' PERMIT N° 9076
Address
Address 12
� 1 )
City1.
❑ ADDITION O REPAIR O REMODEL
Fv - S
Fee S�50
Fee S
Fee S
ilk undcr,4prkd hcnhs "fu,%kdltc, moix of this limited rwrmtt.
including aau•ptanc �d all .tt»:tl tnfrKtnatkm. terms. a ndrUrms or
reywienkms %Morn aNrsc The undcrsignd urk -rund, and agree,
urxkr penahs r l law rhai the, prrmn n -Ancil) lumkd in worw ur the work.
now% rK improsrment yrcrrird. that this rwrin t der, not grant an,
authonq totkr wrxk or acinnM, requiring wparak permit apprmak and
ilmi the, prrmn dr rtes nw gram audknts w sit lase am p i m-4tn edam Cm
r._ wduwncv or Sisk law rule ry rrgulatin All wixk dull N• don• to %lmi
u"riliance with all Cm iwt4mamcs. Naklrng 0xk•, and to tkahh
dqunment wpulamm,. and Jell he suhteo to tmprtlun. appro,al or
rritt'urn hs the ('ns wfie"r%er mi wdered. ilk- undersigned agar, to
cornet an% work found to N• in su4niun 10 tN• sonlmons 4 this riermn
Signa rc�eif Applit�nt -
a 7
Ctttk: %hitt• File Cally
Water Wsll
Mechanical Equipment
Fireplace/ Wood Stove
Moving/Lifting Buildings
Land Alteration ( Excavation.
Grading. Filling. etc.)
Design Review
Fire
Sprinkler Svstem (Fire)
Other.
After -the -fact Investigation
Fee S
FeeS—
FeeS—
FeeS—
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
TOTAL
State Surcharge: Fee S
Total Amount Paid to City Fee 5:
This permit is not valid t.nui WC proper fee is paid and it is approved
by an authorized City Official.
Signature of ( W-O(1'iL
Canar% In,.Mitx', (op} Pink hnanr Ct" Gukl--Applicator's Mado