HomeMy WebLinkAbout1987-06-10 Permit, Septic System #9044Owner
GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 173-7357
Ryerse/Thompson Lumber
Comractlx Widmer Bros
City License No
REMARKS AND SPECIAL CONDITIONS
Mound system — per MPG's report
PERMIT TYPE AND FEE:
Inside Plumbing (#fixtures —
Water Meter I Size )
Meter it
Remote 0
Municipal Water Connection
❑ Copper ❑
Municipal Sewer Connection
❑ PVC ❑ Cast ❑
MWCC SAC Charge
On Site Spetic System
ACKNOWLEDGEMENT
❑ NEW
Fee S
Fee $
Fee $
Fe $
CITY PERMIT N? 9044
Date Jure 10, 1987
Address 2590 Countryside Drive
-- Address
❑ ADD
Fee S ---
Fee $ 30.00
Rte unkragrud hen•hn a/knrwk•dge+ wtoFt ref this Inmted perms.
tnitdhng aurplante A all sMial infrrrnuurtn. terms Wrulrurma rw
reyuitery •nta wniten aline Rte urttkrvgried unlermants and aguo
orale+ lrnaltt rd Ltw Ilial this perntd n strteYlt hmn•d nt sergd• lu the wrwk.
a.ttlttt rw tmlwrnentent yterdal. that this lrmu deist nits grant ant
authrrnrt urdt+NNrk INae11tt1N9rt4wnrW l'ttttt-,iwrwr-nttappfrttal¢ afkt
tta: this Remit dlr nr4 (rant autfuxilt to %dilate ant pmstsuut Jany l•rtt
rrrduurtlt or %tate lata. rule err n•gulatrern V I wr.rk shall to th+ttc in 4rttt
.trmrrlame ntth all lilt l,rdinar000. hutklmg ultkn and'ltr health
dcranrn•nt n-}ulaunns and .fall he sufgeo to rrtoirom /.n. apprmal Or
rrll•rturn ht the l t% Utient- er o4t ttrttrred. the un crosipied aprto ter
entmt ass wrwk faunal to tv in %wlat nn rr( the turn ituats to this lx•rmt
Signature of Applicant
Citv-------- ST. Boni
ITION IN REPAIR
Water Well
Mechanical Equipment
Fireplace/Wood Stove
Moving/Lifting Buildings
land Alteration (Excavation,
Grading, Filling, etc.)
Design Reyie%
Fire_ _ __--
Sprinkler System (Fire)
Other. ---__—_-- —
After-thc-fact Investigation
TOTAL
Stats: Surcharge:
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 • 50
Fee S 3D S 0
This permit is not valid unt:I the proper fee is paid and it is approved
by an authorized City Official.
it
Signator • City Ofiici, ' ��
Cody: Wirt- File Gtpy Caw% Ino. Whir s Copy Pink --Fiance Copy Gold-- Applicant's Roc*