Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />CITY PERMIT NO. 721 � <br />Date <br />Owner / t e I)L Address �2720 -Cox ST <br />Contractor STL� Address <br />City License No. <br />State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: ❑ NEW ❑ ADDIVON ❑ REPAIR <br />Inside Plumbing ( # fixtures ) Fee $ <br />Water Meter (Size ) <br />Meter Al <br />Remote # <br />Fee $ <br />Municipal Water Connection Fee $ <br />❑ Copper ❑ <br />Municipal Sewer Connection Fee $ <br />❑ PVC ❑ Cast Q <br />MWCC SAC Charge Fee $ <br />ACKNOWLEDGEMENT <br />The undersigned hereby acknowledges receipt of this limited <br />permit, including acceptance of all special information, <br />terms, conditions or requirements written above. The <br />undersigned understands and agrees under penalty of law <br />that this permit is strictly limited in scope to the work, <br />activity or improvement specified; that this t+ermit does <br />not grant any authority to do work or activities requiring <br />separate permit approvals; and that this permit does not <br />grail authority to violate any provision of any City <br />ordinance or SSate law, male or regulation. All work shall be <br />done in strict compliance with all City ordinances, building <br />codes and/or health department regulations, and ahall be <br />subject to inspection, approval or resection by the City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in violation of the conditions of <br />this permit. <br />Signature of Ap t 1114 <br />On Site Septic System Fee $ <br />Water Well Fee $ 210, 00 <br />Mechanical Equipment Fee $ <br />Moving/Lifting Buildings Fee $ <br />Land Alteration (Excavation, Fee $ <br />Grading, Filling, etc.) <br />Other: Fee $ <br />After -the -fact Investigation Fee $ <br />20oa <br />f <br />:'OTAL <br />State Surcharge: Fee $ S U <br />Total Amount Paid to City Fee $ <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />vial <br />Code: White --File Copy Canary- Inspector's Copy Pink- I inance Copy Gold Apph"rit's Receipt <br />