HomeMy WebLinkAbout1985-8276 (SAC) CITY PERMIT NO. 8 2�S �
GENERAL PERMIT �
CITY OF ORONO Date � - � I - ��
r.o.aox 66
CRYSTAL BAY,MINNESOTA 55323
(612)473-7357
Owner � C�-�'� ��� �� Address ��� � ��� �
Contractor Address
�
City License No. State License No.
I
REMARKS AND SPECIAL CONDITIONS �
PERMIT TYPE AND FEE: ���TEW ❑ ADDITION ❑REPAIR
Inside Plumbing(#fixtures_) Fee $ Water Well Fee $
Water Meter(Size—) Fee $ Mechanical Equipment Fee $
Meter#
Remote,# Moving/Lifting Buildings Fee $
Municipal Water Connection Fee $ Land Alteration (Excavation, Fee $
� Grading, Filling, etc.)
❑Copper
Municipal Sewer Connection Fee $
Fire Fee $
❑ PVC ❑Cast n Sprinkler System (Fire) Fee $
MWCC SAC Charge Fee $ �� • Other: Fee $
On Site Septic System Fee $ After-the-fact Investigation Fee $
ACKNOWLEDGEMENT TOTAL
The underslgned hereby acknowledgea receipt of this limited
permit, including acceptaace of ail spedal informatton,
terma, coaditions or requi:ements wlitten above. The State Surchar e. Fee �
underaigned uaderstands and agrees uader penatty of law g �
that this pem�it is strlctly limited ila scoHe to the work, ���
activitY or improvement speei�ed; that this Permit does
aot grant aaY authoritY to do wark or activities requ�tng Total Amount Paid to City Fee $ e
separate permit aPProvele; and that this permit doea aot �
grant authoritY to violate snY rnovialon of az►y City
ordiaance oz State law,rule or regiilatioa.All work ahall be
done in strlct compliance with all CitY ordinancea,building
codes and/os health deBerEment regulatione, and ehall be 'This permit is not valid until the proper fee is paid and
subJect to inapection, approval br relection b9 the GYty. it is approved by an authorized City Official.
Wheaever so ordered, the undarsigned e�ees to correct
any work found to be in violation of the conditlons oP
this Peimi�
Signature of Applicant Signature of City Offici
�G��-�/C�� � �.t-✓�X �C.
Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—AppHcant's Receipt