HomeMy WebLinkAbout1986-10-30 Permit, Mechanical Repair #8765GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY. MINNESOTA 55323
(612) 473-7357
Owner EOwwa-b
Contractor S v,\ PV 0 —
CITY PERMIT N? 8765
Date
Addrt-,s / 230 chce.vsoN
Address —_ L°/2P-.e T-0
City License No. — _ City -- — _
REMARKS AND SPECIAL. CONDITIONS
Fl ve (INe$- — a 43 FuAA)AC.-t
PERMIT TYPE AND FEE
D NEW
❑ ADDITION
REPAIR
Inside Plumbing (fixtures )
Fee S
Water Well
Water Meter (Size —)
Fee S
_
Mechanical Equipment
Meter a _
Fireplace/Wood Stove
Remote #
Mo%ing/Lifting Buildings
Municipal Water Connection
Fee $
Land Alteration (Excavation,
❑ Copper D _
Grading, Filling, etc.)
Design Review
Municipal Sewer Connection
Fee S
—
Fire
D PVC D Cast D
Sprinhkr System (Fire)
MWCC SAC Charge
Fee $
Other.
On Site Spetic System
Fee S
After -the -fact Investigation
ACKNOWLEDGEMENT
The undmtgned herehr acknowledgta rmetpt N this limiled permit.
(nludortg jurptanr of all spmvl information. terms, corw " or
rtNwrrmenLt ttntten aho .r The undervlened undemundt and agrn
under penaltN of law that tho permit (t an.tlo hmord m rope to me work
acuortr or imrwowment spn�tftel. that the, patina doer not grant ant
authomt�tudoworkorattontttirr4tanngseparatepermitapprt •3kand
that thn perms dies noa grant authomtt to • ioht am prnoivon (dam Cl(t
ordinance or State law, rule or regulation All Mork shall he dome in vnt
u(mplam-r with all ('ot% ortd(rtant%. hwkLng coidr and- or health
detartment rtgulauom.. ant ,.hall he auhwo to tmrecttom. apprttal or
relation ht the Cm Whenr.rr 41 ordered. the undera(gned agrem to
correct am work found to he in tt(Jauon of the tomdo,om of thn permit
Signature of Applica
TOTAL
State Surcharge:
Total Amount Paid to City
❑ REMODEL
Fee S
Fee S Z s o
FeeS—
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S S�
Fee S 2,57 • SM
�11- jS 9,�
This permit is not %alid until the proper fee is paid and it is approved
by an authowed City Official.
Signature of City Offtciaj__ _
Inl-� Jcl__��.
Code %%'hire hit- Corn Canso- Inspeuori Copy Pink f-tnance Cop% Gold Applicants Receipt