HomeMy WebLinkAbout1986-8452 (water meter) GENERAL PERMIT CITYPERMITNO. g452
CITY OF ORON4 � _ �._ p
P.O.BOX 66 Date � C)�
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
Owner Address �� � ��l�C�j �p � -�
Contractor Address
City License No. State License No.
REMARKS AND SPECIAL CONDITIONS
/.��c��- ��x�.�- ���/� 7�7CP(�
PERMIT TYPE AND FEE: �iEW ❑ ADDITION ❑ REPAIR
Inside Plumbing (#fixtures_) Fee $ Water We11 Fee $
Water Meter(Size� 3�� Q���� Fee $ / 5` ��
Mechanical Equipment Fee $
Meter#
Remote�$ � ` 5 Moving /Lifting Buildings Fee $
Municipal Water Connection Fee $—��- Land Alteration (Excavation, Fee $
n 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 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
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 ^ �'C,�
grant authority to violate any provision of any City �-Jf�
ordinance or State law,rule or xegulation. All work shall be
done in strict compliance with all City ordinances, building
codes �aior health department regulations, and shall be This permit is not valid until the proper fee is paid and
subject to inspection, approval or reiection by the City. lt 1S 3 roved b an authorized Cit Official.
Whenever so ordered, the undersigned agrees to correct pp Y Y
any work found to be in violation of the conditions of
this permit.
Signat e of Applicant Signature of City Official
. � �
'�/�G `'
Code:White—FIIe Copy Canary—Inspector's Copy Pink—Finance Copy Gold—ApplicanYs Receipt