HomeMy WebLinkAbout1987-07-29 Permit, Septic System #9152GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owner I
Contractor LCj/
City License No. t 21 `�2
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE:
*•NEW
Inside Plumbing (#fixtures —_)
Fee S
Water Meter (Size —)
Fee S —
Meter p —
Remote q __
Municipal Water Connection
Fee S —
❑ Copper ❑ —
Municipal Sewer Connection
Fee S
❑ PVC ❑ Cast ❑
MWCC SAC Charge
On Site Spetic Systc-tt
ACKNOWLEDGEMENT
❑ ADDITION
Fee S
Fee v7s-, OV
Pie wkwimt ed ht.et» ackmwkt*g rt-in +i f thn limited permit
i->L;udmtlt na:epwtrtc td all apervl tnformauou. termw condor n, tx
rrytatrmenU wnrsn afire Tlk untervgned urJrr%Urnh and agree,
un ei rvnalh d law that thte permit is vrwtlt hrtttr:d to colic tat the work
aoi%it� tw mlco.rmrnt yxcil"wd. that thn rtcrmtt tkes ntw grant ant
."Nirttt, (tldtt wlNk tx atlt\ttrt regwnng rrarar permit ap ptovak and
that thtarermttdt,�nnttgrant authtwttNlotxdaramrctwiwin4anvOrr
onhrarwr or lute taw. rule tw retrulawm All work shall he tkww in urtet
Lumpirane with all Cit% ordinotrtcm. hwkrtrg c .-k, ardlm health
depanrt rnt regulawww and shall tv .uhro to imle.hon. aptp ro.ai or
rerR-icon ht the 0o %Iwfeter to ordered, the undefulmed agree, tit
wrtx t ant wtvk ftwnl it -fir tit txthpat of the ctarlwtxn of this permit
Signature (A Applicant
Water Well
CITY PERMIT N? 9152
Date �9-�- 7
❑ REPAIR
Mechanical Equipment
Fireplace/Wood Stove
Moving/Lifting Buildings
[and Alteration ( Excavation.
Grading. Filling, etc.)
Design Re%iew
Fire
Sprinkler System (Fire)
Other.
After -the -fact Investigation
❑ REMODEL
Fee S —
Fee S
Fee $
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
TOTAL
State Surcharge: Fee S
Total Amount Paid to City Fee S�
This permit is not valid until the proper fee is pal 1 and it is approved
by an auftwized City Official.
Signature 9(fity Official
i
Codr Wtur--Fik Cop►
Canm-- tnspwor's Copv
Pink -- Ftnafxv Corn
Gold-- Applicant's Itmeo