HomeMy WebLinkAbout1986-12-05 Permit, Septic System #8824Owner
GENERAL PERMn
CITY OF ORONO
PO.BOX66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
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CITY PERMIT N9 8824
Date
Cnntractfir \CljL ! ^.tcL.C^ ^
City License No.
AAi^ &reJL bv.
Address D C u tS ^____________
City ____________________
REMARKS AND SPECIAL CXJNDITIONS
I
»ECIAL CXJNDITIONS
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PERMIT TYPE AND FEE:
Inside Plumbing (#6xtures_
Viler Meter (Size___)
Meter#__________
.)
^ NEW
Fee $
Remote#
Municipal Viter Connection
□ Copper □ ____
MunkHpaJ Sewer Connection
□ PVC □ Cast □
MWCCSACChaige
On Site Spetic System
Fee $
Fee $
Fee S
Fee $
□ ADDITION □ REPAIR
Viter Well
Mechanical Equipment
Fireplace/Wood Stove
Moving/Lifting Buildings
Land Alterau'on (Excavation,
Grading. Filling, etc.)
Design Review
Fire_________________
Fee
□ REMODEL
Fee $ _
Fee $ _
Fee $ _
Fee $ _
Sprinkler Sy.stem (Fire)
Other ___________
After-the-fact Investigation
Fee S
Fee $
Fee $
Fee S
Fee $
Fee $
ACKNOWLEDGEMENT
The undcTMgncd hcfeb> ackncmlcdps reccipi »if this limiletl pcmiii.
incladi.ig atvcpiaiKe «>f all special infomution. lerms. coikIiimto n
rcsjuircmcnis wnticn above The undervigncd undentands and agn»
unda penally of law ihai this permil is sinctiv limiled in scivfe to the wtvrk.
activity or impiovement vfvciried: that this pemit does ma grant any
authonty todiv work or acuviiics reguinng vparale permit approvals, and
that this permit dcvsnotgrarNauthorily tovrohieany provision of anv City
ordinance or Slate law. rule or regulation All work shall he done in sirwt
oimpliaiKe with all Citv ordinances, huiklir^ aides andor health
depanment a-gulations, and shall he subjexi to inspection, approval or
rejection by the City. Whenever so orden-d. ihe undersigned agrees to
aineci any w wk found to he in viobuon of the crinditions of this permit
Signature of Applicant
/
Code: While- File Copy
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TOTAL
State Surcharge:
Total Amount Riid to City
Fee $ "
Fee $ SZ>
This permif o not valid until the proper fee is paid and it is approved
by an auth trued City Official.
Sign uureof Gty OfficiaL .
banarv - Inspector’s Copy Pink Finance C opy Gold - Applicant's Receipt