HomeMy WebLinkAbout1985-06-20 Permit, Septic System #7960GENERAL PERMIT
CITY OF ORONO
P.O.BOX 66
CRYSTAL BAY, MINNESOTA 55323
Owner
Contra,
City Li
REMARKS AND SPECIAL CON
CITY PERMIT NO. 7960
Date
� - - MgMIM10,
PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION
Inside Plumbing (futures_) Fee S
Water Meter (Size__) Fee S
Meter#
Remote
Municipal Water Connecttion Fee S
❑ Copper n
Municipal Sewer Connection Fee S -
❑ PVC ❑ Cast n
MWCC SAC Charge Fee S - _
On Site Septic System Fee S �S "
ACKNOWLEDGEMENT
The undersigned hereby acknowledges receipt of this limited
permit, Including acceptance of all special information.
terms, conditions or requirements written above. The
undersigned understand@ and agrees under penalty of law
that this permit is strictly limited In scope to the work.
activity or Improvement specified: that this permit does
not grant any authority to do work or activities requiring
separate permit approvals: and that this permit don not
grant authority to violate any provision of any City
ordinance or State law, rule or regulation. AO work shell be
done in strict compliance with W City ordinances, building
codes and/or health dope ant regulations, and shall be
subject to inspection, approval or resection by the City.
Whenever to ordered, the undersigned apes* to correct
any work found to bu In violation of the conditions of
this permit.
Signature of Applicant
State License No.
❑ REPAIR
Water Well
Mechanical Equipment
Moving /Lifting Buildings
Land Alteration (Excavation,
Grading, Filling, etc.)
Fee
S
Fee
S
Fee
S
Fee
S
re Fee S
rinkler S(Fire) Fee S ys m _
her. ee S
ter-the-fL t Investigation Fee S
TOTAL
State Surcharge: Fee S '
Total Amount Paid to City Fee S
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 -Inspector's Copy Pink -Finance Copy Gold -Apr' -tt's Receipt