HomeMy WebLinkAbout1987-9143 (mechanical- replace furnace) GENERAL PERMIT CITY PERMIT N° 914 3
CITY OF ORONO
P.O. BOX 66 Date �� �3���
CRYSTAL BAY, MINNFSOTA 55323
(612)473-7357
Owner ' I Address ��a- � �� � ��C�`e -
Contractor � � Address �' � ' � I
City License Na � f `7 � City /l/<1�.(�Q�1'�►�2— ��Cf �
REMARKS AND SPECIAL CONDITIONS
a., -e..vJ o�� )
PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION �REPAIR ❑ REMODEL
Inside Plumbing(#fixtures ) Fee $ Water Well Fee $
Water Meter(Size ) Fee $ Mechanical Equipment Fee $ �_�
Meter# Fireplace/Wood Stove Fee $
Remote# Moving/Lifting Buildings Fee $
Municipal Water Connection Fee $ Land Alteration (Excavation,
❑ Copper ❑ Grading, Filling, etc.) Fee $
Design Review Fee $
Municipal Sewer Connection Fee $
Fire Fee $
❑ PVC O Cast ❑
Sprinkler System(Fire) Fee $
MW CC SAC Charge Fee $
Other: Fee $
On Site Spetic System Fee $
After-the-fact Investigation Fee $
ACKNOWLEDGEMENT TOTAL �
State Surcharge: Fee $
The undersigned hereby acknowledges receipt of this limited permit, � �
including acceptance of all special information, terms, conditions or Total Amount Paid to City F'00 $�
requirements written above. The undersigned understands and agrees
under penalty of law that this permit is strictly limited in scope[o the work,
activiry or improvement specified; that this permit does not grant any
authority todo work oractivities requiring separate permitapprovals;and
that this permit does not gran[authority to violate anV provision of any City
ordinance or State law,rule or regulation.All work shall be done in strict This permit is not valid until the proper fee is paid and it is approved
compliance with aIl City ordinances, building codes and/or health
department regulations,and shall be subject to inspection,approval or by an authorized City Offieial.
rejection bV the Ciry. Whenever so ordered.[he undersigned agrees to
correct any work found to be in violat�n of the conc�itions of this permit.
Signat Applicant
Signatur f rty Official
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Code: White File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—ApplicanPs Receipt
� DATE I�� TIME
CITY OF ORONO �� CAILED IN �-�3
INSPECTION NOTICE SCHEDULED r7 �'7—�7 ��v .
PERMIT NO. connP�ETEo � Z�"�"�� �����
ADDRESS � � �—`�`'�'� � •
OWNER CONTR. ZP�Y—"
TELEPHONE NO. ��/— �Fl�
❑ FOOTING ❑ PLUMBING RI O SITE INSPECTION
O FRAMING ❑ PLUMBING FINA� ❑ EXCAV./GRAOING/FILLING
� ^u INSULATION ,�AECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALI BD. ❑ WATER HOOKUP ❑ LICENSING
lt� O FINAL ❑ METER SET/TURN ON O COMPLAINT
� O PROGRESS ❑ SEWER HOOKUP ❑ FOILOW-UP
y ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FiNAL
O ❑ FIRE PREV. 0 SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� � WELL TEST PUMP ❑
� COMMENTS: ,, �
� �`X-�Y�S --�- I!�''�
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W��J�RK SATISFACTORY:PROCEED O PHOTO TAKEN
p/❑ CORRECT WORK&PROCEED
� ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
� STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Con on site
Inspector`— � �4"V� .�. 413'7351
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White llns / tor's File Canary/Site Notice