HomeMy WebLinkAbout1986-08-22 Permit, Land Alteration #8632GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
C'RYSIAL BAY, MINNESOTA 5523
(612) 47.1-7357
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Owner
Contractor
City Limnse No.
REMARKS AND SPECIAL CONDITIONS
11 Lr -1Q[ i I ilr' / I I'l t , G1 -f
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('ITY I'FRMft' N? 8632
Date
Addrecti
Addre-,s
ROA
qvi ri
yo�t c -7Si•,
PERMIT I PE AND FEE: O NEW 0 ADDITION O REPAIR REMODEL
Inside Plumbing Ofixtures Fee $ Water Well Fee S
Water Meter (Size —) Fee $ —_ Mechanical Equipment
Meter #
Remote a —_
Municipal Water Connection
0 Copper O -
--Municipal Sewer Connection
O PVC 0 Cast O
MWC'C SAC Charge
On Site Spetic Svstem
ACKNOWLEDGEMENT
114• unLk*Mq 4d hcfch% acknowledge. nti,Yrt 1q th„ 11mrled rrrmrt.
11471allllp auapmnLe ,d all Glx -,Lal Inr„rmau„n. term.*, %:u141m,m. IN
mywrcmenu wn14•n ahrwr the ur4lervpri d ur4rerst " and apre"
ur4k t prnaln ul taw Ihal Ihn Petmn n vrttlt hmt4d In4LAIV W the wr>rk,
urr�nt rx Imprnenknt 4worwi. that th" flermrl tk4% nra pian an%
au114,n1%4,dr,w4xkrttadrtn41% .Iwnnprepuarr"Milapprovah.and
11YI IhhlrrmndtIe%mIlpramauthra:%h t-4sicam prmiwrtltt(am(',I%
rmhnan r or Stair law full• to rrpulatp,n All wlxk %tall I4 drl4 m Vra t
t14tI(trlar4e with all tit% ordinamm lituklrnp vmk� and or hcahh
Alunmenl repulan,m, and %tall he kul eWo 4, m.�nlrn, aMxngl r4
rr•I ikm h% the (',1� whemwr w, ordrrtd. the Ilr4lerVpned a;rlxc to
uitem t am w„rA','Intl n, he m %411a1',V li the i,a4hp, n, IYl thn permit
i
'e of An,lkr im A
TOTAL
State Surcharge: Fee S • S
C.`
-16tal Amount Paid to City Fee S DCJ�
This Permit is not %alid until the proper fee is paid and it is approved
by an authorised City Oficial.
I
signal”
° ►f Cily
Of �—
Fee S .—
__Fireplace!W(xvi
Fireplace W(xvi Stove
Fee S
Moving/Lifting Buildings
Fee S
Fee S -----_—_
Land Alteration (Excmvation•
Grading, Filling, etc.)
Fee S
Fee $
Design Re%iew
Fee S
Fire ---
Fee S
Nee $ — -
Sprinkler System (Fire)
Fee S --_
Fee S
Other: --. _--
`
Fee S
Alter -the -fart Investigation
Fee S
114• unLk*Mq 4d hcfch% acknowledge. nti,Yrt 1q th„ 11mrled rrrmrt.
11471allllp auapmnLe ,d all Glx -,Lal Inr„rmau„n. term.*, %:u141m,m. IN
mywrcmenu wn14•n ahrwr the ur4lervpri d ur4rerst " and apre"
ur4k t prnaln ul taw Ihal Ihn Petmn n vrttlt hmt4d In4LAIV W the wr>rk,
urr�nt rx Imprnenknt 4worwi. that th" flermrl tk4% nra pian an%
au114,n1%4,dr,w4xkrttadrtn41% .Iwnnprepuarr"Milapprovah.and
11YI IhhlrrmndtIe%mIlpramauthra:%h t-4sicam prmiwrtltt(am(',I%
rmhnan r or Stair law full• to rrpulatp,n All wlxk %tall I4 drl4 m Vra t
t14tI(trlar4e with all tit% ordinamm lituklrnp vmk� and or hcahh
Alunmenl repulan,m, and %tall he kul eWo 4, m.�nlrn, aMxngl r4
rr•I ikm h% the (',1� whemwr w, ordrrtd. the Ilr4lerVpned a;rlxc to
uitem t am w„rA','Intl n, he m %411a1',V li the i,a4hp, n, IYl thn permit
i
'e of An,lkr im A
TOTAL
State Surcharge: Fee S • S
C.`
-16tal Amount Paid to City Fee S DCJ�
This Permit is not %alid until the proper fee is paid and it is approved
by an authorised City Oficial.
I
signal”
° ►f Cily
Of �—