HomeMy WebLinkAbout1987-04-27 Permit, Septic System #8980I-.
0
GENERAL PERMIT
CITY OF ORONO
P.O.BOX66
CRYSTAL BAY. MINNESOTA 55323
(612)473-7357
CITY PERMIT N9 8980
Date
Owner
Contractor Qop^yn
Chy licOTC No.<^C^. i?.____Ciiy
K^ND SPECIAL CONDITIONS
Uu- mP4. v^-po^4-/'______
REMAR
PERMIT TYPE AND FEE
Inside Plumbing (Ilfixtures —
^ter Meter (Size___)
MeterK__________
.)
□ NEW
Fee $
Fee $
Remote ((
Munidpal Water Connection
□ Copper □ ___
Municipal Sewer Connection
□ PVC O Cast □
MWCC SAC Charge
On Site Spelic System
Fee $
Fee $
Fee %
Fee $
□ ADDITION O REPAIR
Witer Well
Mechanical Equipment
Fiieplace/WDod Stove
Movtng/Lifting Buildings
Land Alteration (Excavation.
Grading, Filling, etc.)
Design Review
Fif«-----------------------------
□ REMODEL
Fee $ ^
Fee $_
F« $
Fee $ __
Sprinkler System (Fire)
Other -----------------
After-the-fact Investigation
Fee $
Fee $
Fee $
Fee $
Fee $
Fee $
;)ACKNOWLEDGEMENT
, h«cb\ ackmmlcdiTN rtccipl iif ihK limili'J permil.
ificlu. of all ^pn.Tal inlimnaiion. Urnm. iTtmlitions t»
req(iin.*ii n aKnc. The uiHirragm.'tl undvrstaiHK and agrees
under pena. * ihiy prmiil KMhcily limned in <<T»tv to the «oik.
activity tir im| -vviried: that this permit does not grant any
aulhonty lodo win> 's nntuinng separau* permitapprovak and
that this permit does mN f > otv to viivble any provision </any City
ordinance or State law. ruk'oi u, ''<mi All work shall he done in strict
compliance with all Citv ordinoiK. hutkJing codes and/or health
department nrgulations. and shall he xl to inspevTion. approval or
rejection hy the City Whenever so «m» ‘ the undersigned agrivs to
correct any wtnk foiinil to K* in violation m conditHins of this (X'rmit
Applicant#4
TOTAL
State Surcharge:
Total Amount ftiid to City
Fee $
Fee s7^
This pet mit is not valid until the proper fee is paid and it is approved
by an authorized City Oflidal.
Signatury^vf City Official
Code White File Copy Canary Inspeeitir’s Copy I’lnk Finance C'opy Gold- Applicant’s Rtxx*ipi