HomeMy WebLinkAbout1986-12-29 Permit, Fireplace #8853GENERAL PERNIIT
CITY OF ORONO
11.0. BOX 66
CRYSTAL BAY. MINNESOTA 55323
/ (612) 473-7357 /
Owner
Contractor
City L.icrnse No
REMARKS A�►D SPECIAL CONDITIONS
PERMIT TYPE. AND FEE:
Inside Plumbing I#fxtures )
Water Meter (Sire — )
Meter is_—
Renrxe a
Municipal Water Connection
❑ Copper ❑ ---
Municipal Sewer Connection
❑ PVC ❑ Cast ❑ —
MWCC SAC Charge
On Site Spetic System
ACKNOWLEDGEMENT
NEW
Fee S --
Fee S -__--
Fee $
Fee S
Fee S
Fee S
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Signature of Applicant
(.xk- %k her Idr(ryn
CITY PERMIT N? 8853
Dale
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❑ ADDITION ❑ REPAIR
_-_ Water Well
M
CCl Equipment
Stove
Moving/lifting Buildings
Land Alteration (Excavation,
Grading. Filling, etc.)
Design Re%iew
( an:u, 11"l- om” (ty%
Fire ----_-_-- —
Sprinkler SNstem (Fire)
Other:---__--
After-the-fact Investigation
❑ REMODEL
Foe S
Fee S
Fee S
Fee $
Fee S
Fee
Fee S _
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fee S
TOTAI. Z )
State Surcharge: Fee S
Total Amount Paid to Cilv
Illis permit is not valid until the proper fee is paid and it is approved
by an authori/ed C•it% Official.
Signature of vOf�Ti_ai-a_l.
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