HomeMy WebLinkAbout1984-02-09 Permit, Fireplace #7319GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
CITY PERMIT NO. 73A I
Date 1 - ! - 94'
Owner 1
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Address
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Contractor SiFV
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Address
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City License No.
REMARKS AND SPECIAL CONDITIONS
INI A SCAR ---"Air W 1PL (ZE V"CI Is- F
PERMIT TYPE AND FEE: NEW
Inside Plumbing ( # fixtures )
Water Meter (Size )
Meter M
Remote #
❑ ADDITION
Fee S
Fee S
Municipal Water Connection Fee S
[]Copper ❑
Municipal Sewer Connection Fee S
❑ PVC ❑ Cast ❑
MWCC SAC Charge
ACKNOWLEDGEMENT
Fee S
The undersigned hereby acknowledges receipt of this limited
permit, including acceptance of all special information,
•tms, conditions or rccuirementa written above. The
undersigned understands and agrees under penalty of law
that this permit is strictly limited in scope to the work,
aettvity or improvement speclfird; that this 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 State law• rule or regulation. ALL work shall be
done In strict compliance with all City ordinances• building
codes and/or health department regulations, and shall be
subject to impaction, approval or relection by the City.
Whenever so ordered, the undersigned agrees to correct
any work found to be in violation of the conditions of
this permit.
f
t
Signature of Appl,..a t
State License No.
❑ REPAIR
On Site Septic System
Water Well
Mechanical Equipment
Moving/Lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Other:
After -the -fact Investigation
TOTAL
Fee S
Fee S
r. n
Fee S
Fee S
Fee S
Fee S
Fee S
State Surcharge: Fee S 16-0
Ir 5,0
Total Amount Paid to City Fee $
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Signature of City
I
Code: White File Copy Canary Inspectw's Copy Pink Finance Copy Gold Applicant's Receipt