HomeMy WebLinkAbout1986-8451 - plumbing GENERAL PERMIT CITYPERMITNO. g45�
CITY OF ORONO
' �
P.O.BOX 66 Date — ��
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
Owner � � � Address � �� �Z������
Contractor /��` Address �� ��� � / �2� �� .
City License No.��� State License No. , �1 Tl�-a
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: ❑ NEW ❑ 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 $
� � �, S-v Grading, Filling, etc.)
❑Copper
Municipal Sewer Co tion Fee $
� Fire Fee $
❑ PVC [�I C.`ast n Sprinkler System (Fire) Fee $
MWCC SAC Charge Fee $ Other: Fee $
On Site Septic System Fee $ After-the-fact Investigation Fee $
ACKNOWLEDGEMENT TOTAL
The undersigned hereby acknowledges receipt of this limited
permit, including acceptance of all special information,
terms, conditions or requirements written above. The � ��
undersigned understands and agrees under penalty of law State Surcharge: Fee $
that this permit is strictly limited in scope to the work,
activity or improvement specified; that this permit does �1
not grant any authority to do work or activities requiring Total Amount Paid to City Fee $ "
separate Permit approvals; and that this permit does not
grant authority to violate any provision of any City -�'�j� ,��
ordinance or State law,rule or regulation. All work shall be
done in strict compliance with all City ordinances, building
�oaes �„aior ne�r,� department regulations, �a Snau be This permit is not valid until the proper fee is paid and
subiect to inspection, approval or reiection by the c�ty. it is approved by an authorized City Official.
Whenever so oxdered, the undersigned agrees to correct
any work found to be in violation of the conditions of
this permit.
Signature of Applicant �`A����— Signatur of City Off' al
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Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt
DATE TIME
CITY OF ORONO CALLED iN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. COMPLETED s�J�� g '�S
ADDRESS /.�SV B�IAiC
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING � PLUMBING RI ❑ SITE INSPECTION
� FRAMING ❑ PLUMBING FINAI ❑ EXCAV./GRADING/FILL�NG
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� O WALL BD. ❑ WATER HOOKUP ❑ LICENSING
W ❑ FINAL O METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS "SEWER HOOKUP ❑ FOLLOWUP
y ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIFE PREV. G SEPTIC MAINT. ❑ FIREPIACE/WOOD BURNER
Z ❑ WELL TEST PUMP ❑
Q COMMENTS:
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W �ORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
Q ❑ CORRECT WORK&PROCEED
V C CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
'7 CORRECT UNSAFE CONDITtON WITHIN HOURS.INSPECTOR WIIL RETURN.
� STOP ORDER POSTED.CALL INSPECTOR.
G INSPECTION FEOUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
I nspector 473'73'Jr7
White/Inspector s File Canary/Site Notice