Laserfiche WebLink
GENERAL PERMIT �ITYPERMITNO. ��03 <br /> CITY OF ORONO <br /> P.O.BOX 66 Date ` � � <br /> CRYSTAL BAY, MINNESOTA 55323 <br /> (612)473-7357 <br /> Owner ----� DN�� � �/NiS Address ���� C��� �7` 1�L� <br /> Contractor V� 1 '�th-1�-12- �Iz-��' • Address S��-j^1� �A*�ic <br /> City License No. State License No. <br /> REMARKS AND SPECIAL CONDITIONS <br /> ��� �L-K-�.r��-�r- �o��3 � -�l S`-�'� ("N�v�2 �e�Nr��t� ,n� :�S�1 <br /> PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑ REPAIR <br /> Inside Plumbing (#fixtures_) Fee $ Water Well Fee $ <br /> �c <br /> Water Meter(Size�) Fee � —�._. Mechanical Equipment Fee $ <br /> Meter# J �e''�' � <br /> Remote# ' �C Moving /Lifting Buildings Fee $ <br /> Municipal Water Connection Fee $ Land Alteration (Exeavation, Fee $ <br /> � Grading, Filling, etc.) <br /> ❑Copper <br /> Municipal Sewer Connection Fee $ <br /> Fire Fee $ <br /> ❑ PVC ❑Cast n Sprinkler System (Fire) Fee $ <br /> MWCC SAC Charge Fee $ Other: Fee $ <br /> On Site Septic System Fee $ After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> The undersigned hereby acknowledges receipt of this limited <br /> permit, including acceptance of all special information, <br /> terms, conditions or xequirements written above. The ,,,_ <br /> undersigned understands and agrees under penalty of law State Surcharge: Fee $ <br /> that this permit is stricUy limited in scope to the work, �Q <br /> activity or improvement specified; that this permit does Q � <br /> not grant any authority to do work or activities requiring Total Amount Paid to City Fee .p � <br /> separate permit approvals; and that this Permit does not <br /> grant authority to violate any provision of any City <br /> ordinance oz State law,rule or regulation.All work shall be <br /> done in strict compliance with all City ordinances,building <br /> codes and/or health department regulations, end shall be This permit is not valid until the proper fee is paid and <br /> subiect to inspection, approvai or reiection by the c�tY. it is approved by an authorized City Official. <br /> Whenever so ordered, the undersigned agrees to correct <br /> any work found to be in violation of the conditions of <br /> this permit. <br /> Signature of Applicant , Signature of City Official <br /> , L�������1��_��a���'� � <br /> Code:White—File Copy Canazy—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt <br />