HomeMy WebLinkAbout1985-10-25 Permit, Sewer & Water #8148GENERAL PERIVIIT CITY PERMIT NO.
CITY OF ORONO
P.O.BOX 66 Date
CRYSTAL BAY, MINNESOTA 55371
(612) 473-735 7
Owner Address
Contractor Address
City License No. k tx4l Q State License No.
K_ . oalk-d Feed
REMARKS AND SPE.. AL C NDITIONS
,4_'s I.A e 1 1•
& O 6 (.►-c, /.
PERMIT TYPE. AND FEE: ❑ NEW ❑ ADDITION ❑ REPAIR
Inside Plumbing 4fixtures._) Fee S
Water Mett:r (Size)
Meter#
Remote �►
Municipal Water Connection
]Copper Q-_
Municipal Sewer Connect
❑ PVC ❑Ca,.
MWCC SAC Charge
On Site Septic System
Fee S—___- _—__
Well
nical Equipment
oving /Lifting Buildings
S - _
8148
♦ 44-� est
jLanJ Alteration (Excavation,
Grading, Filling, etc.)
C
l'ce S _ ----- re
Fee S I
Fee S 1
Fee S_ 9
Fee S
Fee S_ E.
Sprinkler System (Fire) Fee S
Fee S _ - -- ther:[�?.rt Fee S S•
Fee SL )
ileo -far Investigation Fee 5....
ACKNOWLEDGEMENT TOTAL
The undersigned hereby acknowledges receipt of this limited
Pamil, inclu"a acceptance of all wocial Information,
term+, conditions or requireimens wdtten above. The
unde- g nod understands and agrees under penalty of law
that this penult is strictly iimiMd in eeope to the work,
activity or improvement sdacified: that tole permit does
not pant any authority to do work or activities requiring
"Paste Permit approvals: and that this persalt don not
grant authority to violate any provision of my City
osnaaanee or State law, rule or regulation. All work dull be
dome in strict compliance with all City wilYuncea, building
codes andlor heallis department regulations. and @Mall bs
mrbiect to inspection, approval at wiectiom by the City.
Whenever so ordered, tlne undersigned agrees to correct
any work found to be in %iolation of the conditions of
this pernit.
.iignature of Applicant
Cottle: While -File Copy Canary hnsm or'@ Copy
Surcharge:
Amount Paid to City
Fee $ /, O n
Fee S 1 J.00
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Offiiciiai.
Signat re of City �dff' :nal
i
Mink -Finance Copy GftJ--AppNc@W s ttisdP1