HomeMy WebLinkAbout1986-02-20 Permit, Septic System #8347GENERAL PERMIT
CITY OF ORON U
P.O.BOX 66
CRYSTAL BAY, MIr4NESOTA 55323
(612) 473-7357
CITY PERMIT NO. 8347, I
Date b- - �U —O (0
Owner 9 Address ��/ Di C_0C,4CQ �Q
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ContractorAddress tt,/ ax 7S
City License No. State License No. )go ,41G'?/
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REMARKS AND SPECIAL CONDITIONS
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PERMIT TYPE AND FEE
Inside Plumbing (#fixtures_)
Water Meter (Size_)
Meter#
Remote #
NEW
Fee S
21j2=e7.S u Sp
ElADDITION ElRF,PAIR ��
ate. Well
Fee S — ____ -___ IMechanical Equipment
Municipal Water Connection
❑ Copper n
Municipal Sewer Connection Fee S
❑ PVC ❑ Cast ❑__
MWCC SACCharge Fee S
On Site Septic System Fee S
ACKNOWLEDGEMENT
The undersigned hereby acknowledges receipt of this limited
permit, Including acceptance of all special information,
terms, conditions or requirements written above. The
underdgned understands and agrees under penalty of law
that this permit is strictly limited in scope to the work,
activity or improvement specifled; that this permit does
not grant any authority to do work or activities requiring
separate per -nit approvals; and that this permit does not
grant authority to violate any pr.Asion o/ any City
ordinance or State law, rule or regulation. All worst shall be
done in strict compliance with all City ordinances, building
codes and/or health department regulations, and shall be
wrbk•cI to Inrpactio.i, approval or re)ection ty the City.
Wher ver so ordered, the undersigned agues to correct
a.ty work found to be in violation of the conditions of
this permit.
Signature of Applicant
c'
oving /Lifting Buildings
Land Alteration (L,.caution,
Grading, Filling, etc.)
Fire
nkler System (Fire)
her:
fter-the-fact Investigation
TOTAL
Fee S
Fee S
Fee S
Fee S
Fee
$
ree
S_
Fee
S
Fee
S
Stale 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.
Signatuje of Cit} Offit,al
1— -4.1IV0
f.
Code White - File Copy Canary --Inspector's Copy Pink -Finance Copv V Gold -Applicant's Receipt