Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />Owner S <br />Contractor <br />City License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE <br />Inside Plumbing( # fixtures ) <br />Water Meter (Size ) <br />Meter # <br />Remote # <br />NEW ❑ ADDITION <br />Fee S <br />Fee S <br />Municipal Water Connection Fee S <br />❑ Copper El <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast n <br />MWCC SAC Charge Fee S <br />ACKNOWLEDGEMENT <br />The undersigned bereby acknowledges receipt of" limited <br />Permit, Including seesptanae of all me" information, <br />terms, conditions or requinmsai wtitwn above. Tke <br />undemidood underdands and agtw under penalty of law <br />that thle permit is faledy limited In mope to the week, <br />activity or improwmant spodfled: that gale permit does <br />rat want any oulhosi4 to do week or ealmdes requiring <br />aegafnt. permit approvele: and that tide permit don not <br />wlrt aulhority to violate any Provision of any City <br />aP�aanes of State law. rule or regulation. All work ahN be <br />tla�a Is $Oki compliance wills as City ordinances. building <br />eegn and/or hnith department rewuletious, and call be <br />sableet to Inspection. approwd or rejection by the City. <br />whaaewr so angered, tin undersigned agrees to correct <br />any work found to be in violation of the conditions of <br />1W penult. <br />Signature of Applicant <br />CITY PERMIT NO. .67511 <br />Date Y—C;�- <br />Address 7Vr"-eiv Z41. <br />Address " a ---, <br />State License No, <br />❑ REPAIR <br />On Site Septic System <br />Water Well <br />Mechanical Equipment <br />Moving/Lifting Buildings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Fee S <br />Fee $ �D OD <br />Fee S <br />Fee S <br />Fee S <br />Other: Fee $ <br />After -the -fact Investigation <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee S <br />Fee S `�5d <br />Fee $�'� <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Sign, - of City Official <br />Code: white -File Copy <br />Canary --Inspector's Copy <br />Pink-FinanLC Cspy <br />Gold --Applicant's Receipt <br />