HomeMy WebLinkAbout1985-08-06 Permit, Septic System #8021GENERAL PERMIT CITY PERMIT NO. soli
CITY OF ORONO Date
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owner A4Address
' 3
Contractor Address
City License No. t� a' State License No.
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: X NEW ❑ ADDITION ❑ REPAIR
Inside Plumbing (#fixtures_) Fee S
Water Meter (Size—)
Meter#
Remote #
Fee S
Municipal Water Connection Fee S
❑Copper n
Municipal Sewer Connection Fee S
❑ PVC ❑ Cast n
MWCC SAC Charge Fee S
On Site Septic System Fee S
ACKNOWLEDGEMENT
The undersigned hereby acknowledges receipt of this lunited
permit. Including acceptance of all Woetal information.
terms, conditone or requirements written above. The
undersigned undantand@ and agrees under penalty of law
that this permit is strictly limited in scope to the work.
ectivit- • Improvement specified: that thls permit don
gr
an ant any authority to do work or ectivides requiring
separate permit approvals; and that this permit does not
Want authority to violate my provision of soy City
ordnance or State law, rule or regulation. Ali work shall be
done In strict compliance with all City ordinances. building
codes and/or health department resu4tlons, end shalt be
subject to Inspection. approval or rejection by the city.
Whenever so ordared, the undersigned agrees to comet
any work found to be In violation of the conditions of
this permit.
ater Well
echanical Equipment
oving /Lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Fee S
Fee S
Fee S
Fee S
ire Fee S
rinkler System (Fire)
Fee S
ther: Fee S
fter-the-fact Investigation Fee S
TOTAL
State Surcharge: Fee S
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.
of City
Code: White - File Copy Canary Inspector's Copy Pink -- Finance Copy
Gold -Applicant's Receipt