HomeMy WebLinkAbout1987-03-18 Permit, Fireplace #8940GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY. MINNESOTA 55323
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(61-211473-7357
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Cit% I .icenK No. __ n !� • it
RFMARKS /AND SPECIAL CONDITIONS
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PERMIT TYPF AND FEE
Inside Plumbing Oftxturo%
Water Meter (Sm —►
Meter a
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Municipal Water Connection
❑ Copper ❑
Municipal Sewer C'onntmion
❑ PVC ❑ Cast ❑ —.
MWCCSAC Charge
On Site Spetic System
ACKNOWLECX&MFN'f
IX NE W
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SIP M Applicant
Calk. Whttr 1 tte 01% Uanar, Immim'r ('ttpot
( I I N Irl ►l%ll l N° 8940
I}ate _ - is y'1
Addresser l5`o L 1-4 11 1") .b r
Address J . /I KO -1
/ 70
city _ Zt /0- •7 v
IITION ❑ REPAIR
Water Well
Mechanical Equipment
Fireplace/ Wood Stove
Moving/Lifting Buildings
Land Alteration (Excavation,
Grading. filling, etc.)
Design Review
Fire
Sprinkler System (Fire)
Other. --- - --- ------ ..
After -the -fact Investigation
❑ REMODEL
Fee $
Fee S
Fee S
Fee S
Fee S
Fre S
Fee S
Fee S
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Fee S - t'^ Z_ 00
TOTAL _
State Surcharge: Fee S
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10tal Amount Paid to City Fee
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-1 hit, permit is not valid until the pn►per fee is paid and it is appro%ed
h, an authorised City Oficial.
Signature ( C'Ity
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Pink Fromm• Copy
Gnld- Appbum'% 16"p