HomeMy WebLinkAbout1986-10-22 Permit, Septic System #8750GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL. BAY. MINNESOTA 553?3
(6 '_) 473-7357
Owner
Contractor _
Citv License No. _—_(IC) f —
REMARKS AND SP CIAL CONDITIONS
II k
CITY PERMIT ND 8750
Date
G 401JI)
Address `�- 7 r 5/ }� 5 t
Citv
11
PERMIT TYPE AND FEE l� NEW ❑ ADD
Inside Plumbing (#fixtures —) Fee S ------
Water Meter (Size t Fee $ _
Meter n_ -----
Remote #
Municipa? Water Connection
❑ Copper ❑ _
Municipal Sewer Connection
❑ PVC ❑ Cast ❑
MWCC SAC Charge
On Site Spetic Slstem
ACKNOWI FMFMI'NT
Fee S
Fee S
Fee S ---�
Fee S �
the •nw4•n,EnrJ hrn'h. a.I,rw,wkdp+ rKt M d ttm hmltrd pttmn.
,tll ytxist Inkxmauat. 1lrIm t.Y,fldilk" t■
ywrrnw'ill, wnit,n .0-w the wxk,vprod un&442ak and &Pt
u,wler {>< u.,r.. � �.,H lh.n tlu. It nni! i• .ux�ly hm�a'd m rtitpr to the wtxk.
a.lnn•. n,l•�,"rnx•m .�`t•,Ifi„! Ih.11 chs !t,mn tkx.% floc glam am
moh-Ti.i, 1• A nlW101114 v lwA, Irrfnnapprtnak and
I he • Ih � • !. � m:! .!,.� n. ,r F• r em a ulhtxuy 1u �x,lalr am pft+vlslan dam (fry
"W1 !,1' 1,11, a•RulaOt>tl Atl uOA shall he duns in mmi
:: mhher„,�nh .111 t 1!, hwldilip "0” and/tx htahh
!, r,.rrin•,'nl ii l' il.tll: ,l:, ,I',d 1hail IX 11hwx1 I: 1..I a: II141. appft„al Of
way 1•, !111.1 �I� \k hq",t.
t `dnl Ihr pvH —ler%oned aIn
,:.1.. ,4n1,11"ilh,sprnml
slyn:atuft''.4
Cade VAwe-- hk Corn
Cann' ImMttw i Cntr,
ITION O REPAIR
Water Well
Mechanical Equipment
Fireplace/Wood Stove
Moving/tAfting Buildings
land Alteration (Excavation.
Grading. Fillirg, etc.)
Design Review
Fire — — —
Sprinkler System (Fi!e)
Other. —
After -the -fact invest4stiion
TOTAL
State Surcharpr
Total Amount Paid to City
❑ REMODEL
Fee S
Fee S �—
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S - :2)
Fee S 9S SU
t 6-;2
This permit is not valid until the propel fee is paid and it is approved
by an authorized City Official.
Signature of City OR"taal
Pfau— PiaMo� c!'
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