HomeMy WebLinkAbout1985-10-23 Permit, Septic System Add #8140GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612)473-7357
Owner AlAjtX>^S)C/------------
Contractor ^ ^----CL&----------
CITY PERMIT NO. 8140
-<^5"Date,
Address.
Address
^ OO .
City License No..State License No.
REMARKS AND SPECIAL CONDITIONS
____________A£>r> s.-C.
______________ eTCfSn^c. ______________
PERMIT TYPE AND FEE; □ NEW ^ADDITION □ REPAIR
Inside Plumbing (#fixtures ----)
Water Meter (Size
Meter#___
Remote #.
I Municipal Water Connection
QCopper rn
Fee S
Fee S
Fee S
Municipal Sewer Connection
□ pVC DCast Q
MWCC SAC Charge
On Site Septic System
Fee S
Water Well
Mechanical Equipment
Moving /Lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Fire
Fee $
Fee S *SO
Sprinkler System (Fire)
Other:_____________
After-the-fact Investigation
Fee $.
Fee $.
Fee $.
Fee $.
Fee $.
Fee $.
Fee $
Fee $.
ACKNOWLEDGEMENT
The undenlCBed u«t?bv ■cknowtodg*! rtcalpt of thU UiniUd
pemit. including accapurc* of all npadal informaUon.
tcimt, condltfon* or raqulretncnU wilttan above. The
underlined undeietanda and agreea under oenalty of law
that thU permit ia strictly limited in econe to the work,
activity or improvement specified; that tuis permit does
not grant any authority to do work or activities requiring
separate permit approvals; and that this permit does not
grant authority to violate any provision of any City
ordinance or SUU law. rule or regulation. AU work shall be
done in strict compliance with ail City ordinances, building
codes and/or health department regulations, and shall be
subiect to inspection, approval or reiection by the City.
Whenever so ordered, the undersigned agrees to correct
any work found to be in violation of tits conditions of
this permit.
TOTAL
State Surcharge:
Total Amount Paid to City
Fee $.
Fee $.
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Code Mklilte - nie Copy Canary - Inipector't Copy Wnk-Finance Copy Cold-AppUcaat’s Receipt