HomeMy WebLinkAbout1986-06-25 Permit, Septic System #8543GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
CITY PERMIT NO. 8543
Owner Address
Contractor lv��� a Address
City License No. _s,2 U L_� State License No.
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE
Inside Plumbing 0fixtures_)
Water Meter (Size—)
Meter#
Remote #
Municipal Water Connection
❑Copper
Municipal Sewer Connection
10 NEW ❑ ADDITION
Fee S
Fee S
❑ REPAIR
ater Well
Equipment
/Lifting Buildings
Fee S --_ ILand Alteration (Excavation,
Grading, Filling, etc.)
Fee S
Fee S
Fee S —
Fee S
Fee S ___ Pre Fee S
❑ PVC ❑ Cast n
MWCC SAC Charge Fee S
On Site Septic System Fee S=�
ACKNOWLEDGEMENT
The undersigned bereby acknowledges receipt of this limited
permit, Including acceptance of all special information,
terms, conditions or requirements written above. The
undersigned understands and agrees under penalty of law
that this permit is @atatiy limited In scope to the work,
actiiity or improvement speciMd: that lists permit does
not grunt 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
ordloan" or State law, rule or regulation. AD work @bell be
done in strict comr.iiance with all City ordnaness, budding
codes and/or bealth department regulations. and .ball be
subject to Inspection, approval or rejection by the City.
Wbenever so ordered, the undersigned agrees to 4.oneet
any work found to be in violation of the conditions of
this parrnit.
Ap
Drinkler System (Fire)
they: _
fter-the-fact Investigation
TOTAL
State Surcharge:
Total Amount Paid to City
Fee S
Fee S
Fee S 1
Fee
Fee
s _"15 tol
This permit is not valid until the proper fee is paid and
it is approved by an authorized City Official.
Code: White File Copy Canary - lnapector's Copy Pink -Finance Copy Geld - Applicant's Receipt