HomeMy WebLinkAbout1987-06-30 Permit, Septic System #9087r ^1
GENERAL. PERMH
CITY OF ORONO
I
1 Owner
P.O. BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
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CITY PERMIT N9 9087
Date
Address ss~ 6-0 r.
Coniractor L> ^ oAJxd //^,^S // ^ ■
5>/^{n_______________ CityCity License No.
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REMARKS AND SPECIAL CONDITIONS
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PERMIT TYPE AND FEE
Inside Plumbing (/(fixtures_
WEiter Meter (Si/e___)
Meter//__________
-)
Vnew
^ Fee $
Fee $
□ REPAIR
Remote tf
Municipal Witer Connection
□ Copper □____
Fee $
Municipal Sewer Connection
□ PVC □ Cast □
MWCCSAC Charge
On Site Spetic System
Fee $
□ ADDITION
Water Well
Mechanical Equipment
Fireplace/Wood Stove
Moving/Ufting Buildings
Land Alteration (Excavation.
Grading. Filling, etc.)
Design Review
Fire_________________
Fee $ ________
Fee$:Z5Lj2»
□ REMODEL
Fee $ _
Fee $ _
Fee $ _
Fee $ _
Sprinkler System (Fire)
Other ___________
After-the-fact Investigation
Fee S
Fee S
Fee $
Fee $
Fee $
Fee $
ACKNOWLEDGEMENT
The undenignai hcfcbv acknowledges reccipi of this timiied pennit.
including aaepunce of all special information, terms conditions or
nrguiremenu written ahtne. The undersigned understands and agrees
under penally of bw that this permit is strictly limited in wope to the work,
activity or impnnement specified: that this permit does not grant any
authsirity todo wrwk or activities requiring vparate piimit approvals; anil
thai this permit does not gram authority to vioiate any provision of any City
ordinance or State bw. rule <w rrgubtion. All work shall he done in Mrict
compliance with all City ordinances, building codes and/or health
depanment rcgubtkins. and shall he subject to inspection, approval or
rejection by the Ciiv. Whenever so ordeied. the undersigned agrees to
^onret any work found to he in viobiion the conditions of this permit
(urcyOf Appliz
TOTAL
Stale Surcharge:Fee $rSO
Total Amount I^d to City Fee $"ZSLSD
Thi.s permit is not valid until the proper fee is paid and it is approved
by an authorized City Official.
Signature^ City Officialnal / t
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Code- While RteCopy Caniiry- Inspccior's Copy Pink I-inance Copy Gold- Applicant's Receipt J