HomeMy WebLinkAbout1986-11-17 Permit, SAC Charge #8793GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612) 473-7357
Owner _!' �� ti r �; I e A-A—
Corawor '•� J 1 �� t t' ► �'
City License No.
REMARKS AN SPECIAL CONDITIONS
PERMIT TYPE AND FEE * NEW
CITY PERMIT N? 8793
Date
i'/ �,'
Address ^7 -�6 it Lill, 11L & i d- 1-19L/Ie
r
Addrevt --�-4 '
City
❑ NDDITION ❑ REPAIR O REMODEL
Inside Plumbing rhtfixtures ) Fee $ --_—_ _.--
Water Meter (Size ) Fee S _-- _--
Meter #
Remote u
Municipal Water Connection Fee 5
O Copper O
Municipal Sewer Connection Fee S
O PVC ❑ Cast O
MWCC SAC Charge
On Site Spetic System
ACKNOWLEDGEMENT
Fee S
Fee S _`---
11%. untk•nrFrx•d hen•ht akkrw.wk•dge, rrtctrw A thn Imutrd Itin,n
intltahrrp atu•pt,uwf• .A all tpt•twl mkwmalron term.. c.•rxlnu,rr ,e
re4wrenient, wntk•n ahftc The unLiefagrxtl urakr.und% arwl aKtef-
urxlt•r rwitalth N law chat 1hr, ra'rmrl j, irk alt hnnx•d to volt to the work
a.u.nt -M rmptotenx•nt .ltYtfit-d Ilium the, rmmn df -t, mq Kram .uo
a.nhontl xrtk•wtxk fw.uUtrtw� n•ymnrµ vprrratt• ra•rnmapptutal•. and
that shit pt mlrl Jar rx r Kra m .nuhr wen to t u drt k am pros rwwa r an t ('n t
.ndfnarxr or Stair haw cult• or fetrulatwm •111 work shall tx• dfwn• nr Hrx t
.rwnpltante with all I it% onhnatxr Nukhrty .fxk, and of health
Jclwrtmeot n•pnkrmni, aMl hall tv •uhleti t, ursrtt wit appt tat
fimtlwm ht the t ilt N henrtrr w. ordered. the urxlompned alttrr t,
IYNn\'t ant wfwk loured i., he in twlautm A Itx•, ondmom fa tht, lx•rnw
Siprature of ArO"nt /
Cods. Whit F* Copv
Water %tell
Mechanical L•.yuipment
i•ireplace Wtxxl Stove
Fee S
Fee S
Fee S
Moving'Lifting Buildings Fee S
Land Alteration (Excavation.
Grading. Filling, etc) Fee S
Design Review Fee S
Fire �__- _-- _ _ _ Fee S —
Sprinkler S%%tem (Fire) Fee S
Other. —_-- _-- ___-- Fee S _
After -the -fart Investigation Fee S
I OTAL
State Surcharge: Fee S It SGl
It rtal Amount I'hid to City Foe S
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This permit is not valid until tht• proper ke Is paid and it Is approved
by an authorised Citv Official
Signature of Cit} Ofrk:w
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