HomeMy WebLinkAbout1986-08-12 Permit, Septic System Repair #8612GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY. MINNESSOTA 55323
(612) 473-7357
Owner -
Contractor
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City License No.
REMARKS AND SPECIAL CONDITIONS
CITY PERMIT N? 8612
Address
Address 7 / C;� 0��/.�
City o C
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PERMIT TYPE AND FEE:
❑ NEW
Inside Plumbing Ofixtures )
Fee S
Water Meter (Size _1
Fee S
Meter # —
Remote
Municipal Water Connection
Fee S
❑ Copper ❑
Municipal Sewer Connection
Fee S
❑ PVC ❑ Cast ❑
MWCC SAC Charge
Fee S
On Site Spetic System
Fee S
ACKNOWLEDGEMENT
Me undcrwnrd hereb. acknoMtetlpr, •- it-! to thn limited permit.
trtltrdtrtg aaerx: .t ,i .ul .rxtnl inttwmauon. terms. conittttwt, tw
r.yWlcmenlIi vtntirn ahoce TV undervgned unirntamf and agrcn
under pertaht to law that tht% permit n grxYl% limned in vile to the work
acucitc tw tmpwown"t yntfie& that tht, permit don', ma grant ant
authont%todrtwtwktwacttttttnreywnngteptarate permit appirmn1. and
that thn permit dtw%nit grant authontc to cu.lair anc pitttivson ttfant Cac
twdtrtance tw 14te lac.. rule tw regulaw n All tatwk Jell he tkme to yrx:t
compAtancc Nrth all ('m twdtrctrxin. hwltitng ..fin and tw ' filth
tirrnnrrtent rcgulautwn, and Jell he .uhtmi it :tcpucuon. appetnal or
reimtton h% the Of'%% Whrneter wt ordered. the unlrntgned agrm, to
corrmt any wwt louni to he in cu-Jautwt to the unwItion, ri thn permit
❑ ADDMON
Si Applitant
ter
I -
Water Well
REPAIR
Mechanical Equipment
Fireplace/Wood Stove
Moving/Lifting Buildings
Land Alteration ( Excavation.
Grading. t filing. etc.)
Design Review
Fire
Sprinkler System (Fire)
Other.
After -the -fact Investigation
T t t.,L
State Surcharge:
Total Amount Paid to City
❑ REMODEL
Fee S
Fee S
Fee S
Fee S
Fee S
I•ee S
Fee S
Fee S
Fee it
Fee S
Fee S ,y
Fes $
7 his permit is not valid until the proper fee is paid and it is approved
by an authorized City Official.
Signature of Official
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