HomeMy WebLinkAbout1982-09-27 Permit, Water Meter #6827GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owner
Contractor
City License No.
REMARKS AND SPECIAL CONDITIONS
CITY PERMIT NO. 6827,
Date E2? 7-312
Address
Address
State License No.
PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑ REPAIR
Inside Plumbing ( # fixtures ) Fee $ On Site Septic System
R�
Water Meter (Sizes ) Fee Water Well
Meter # 3U/ 0 3 L27
Remote # /d 0 3s4? Mechanical E tuipment
Municipal Water Connection Fee $ Moving/Lifting Buildings
❑Copper ❑ Land Alteration (Excavation,
Grading, Filling, etc.)
Municipal Sewer Connection Fee $
❑ PVC ❑ Cast n Other:
MWCC SAC Charge Fee $ After -the -fact Investigation
ACKNOWLEDGEMENT ICTAL
The undersigned hereby acknowledges receipt of this limited
permit, including acceptance c! all special information,
terms, conditions or requircr.ents written above. The
undersigned understands and agrees under penalty of law
that this permit is strictly limited in scope to the work,
activity or improvement specified; that this permit does
not grant any authority to do work or activities requiring
separate permit approvals; and that this permit does not
grant authority to violate any provision of any City
ordinance or State law, rule or regulation. All work shall be
done in strict compliance with all City ordinances, building
codes and/or health department regulations, and shall be
subject to Inspection, approval or rejection by the City.
Whenever so ordered, the undersigned agrees to correct
any work found to be in %iolation of the conditions of
this permit.
Signature of Applicant
Code: White --file Copy
Cana,
vector's Copy
Fee $
Fee $-
Fee $ _
Fee $
Fee $
Fee $
Fee $
State Surcharge: Fee $
Bp
Total Amount Paid to City Fee $
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Signature ot'City Ot al
l
I finance Cop) Gold Applicant's Receipt