HomeMy WebLinkAbout1987-05-22 Permit, Sewer Connect #9020GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owner _-� C. �f?/ C
Contractor
City License No.
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE:
Inside Plumbing Ofixtures _)
Water Meter (Sic _ )
Meter #
Remote # _
Municipal Water Connection
❑ Copper ❑
Munici Sewer Connection
PVC ❑ (;I"t ❑ —
MWCC SACCharge
On Site Spetic System
A('K NOW LI:.IX; F.MEN'T
NEW
Fee S
Fee S
Fee S
❑ ADC
Fee S
Fee S --
Fee S
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Signature of jW;1 nt
CITY PERMIT N? 9020
Address S ! L) ✓Py
Address
City
IITION ❑ REPAIR
Water Well
Mechanical E4uipment
FireplaLe/ Wcxxd Stove
Moving/Lifting Buildings
Land Alteration ( Excavation,
Grading, Filling, etc.)
Design Review
Fire
Sprinkler System (Fire)
Other. -- _-- ----
After-the-fact Investigation
TOTAL
State Surcharge:
Total Amount NO to City
❑ REMODEL
Fee S _
Fee S —
FeeS_
Fee S_
Fee S —
Fee S—
Fee S —
Fee S _
Fee S _
Fee S —
Fee S j
FecS_J - ,
This permit is not valid until the proper fee is paid and it is approved
by an authorised City Ofieral.
Signature �gVCit} Official '
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