HomeMy WebLinkAbout1986-8705 - water meter GENERAL PERMIT CITY PERMIT N� 8'705
CITY OF ORONO
EO. BOX 66 Date ! v � �C) �
CRYSTAL BAY, MINNESOTA 55323
� (612)473-7357
,�
Owner t��� ����-�'�-� Address �-� `-� ��� ������ �f� � �
Contractor ���� C� ����" �� S _
Address ��� -
City License Na � �/ City
REMARKS AND SPECIAL CONDTTIONS
PERMIT TYPE AND FEE�7. ❑ NEW ❑ ADDITION ❑ REPAIR ❑ REMODEL
Inside Plumbing(#fixtures ) Fee $ Water Well Fee $
�
Water Meter(Size� ) Fee $ i L Mechanical Equipment Fee $
Meter# � �' � � �'��� Fireplace/Wood Stove Fee $
Remote# ��� S �� �p � Moving/Lifting Buildings Fee $
Municipal Water Connection Fee $ s�� Land Alteration (Excavation,
� Copper ❑ Grading, Filling, etc.) Fee $
Design Review Fee $
Municipal Sewer Connecrion Fee $
Fire Fee $
❑ PVC ❑ Cast � ❑
Sprinkler System (Fire) Fee $
MW CC SAC Charge Fee $
Other: Fee $
On Site Spetic System Fee $
After-the-fact Investigation Fee $
ACKNOW LEDGEMENT TOTAL
State Surcharge: Fee $ ' `��
The undersigned hereby acknowledges receipt of this limited permit, �___J�� �
including acceptance of all special information, tertns, conditions or Total Amount Paid to City Fee $ `��
requirements wntten above. The undersigned understands and agrees '
under penalty of law[hat this permit is strictly limited in scope[o the work,
acti�ity or improvement specified; that Ihis permit dces not grant any
authonty todo work oractivities requiring separate permit approvals:and
that this permit does notgrantauthonty to violate anp provision of any Ciry
ordinance or State law,rule or regulauon.All work shall be done i�strict This permit is not valid until the proper fee is paid and it is approved
compliance with all City ordinances, building codes and/or health
department regulations,and shall be subject to inspection,approval or by an authorized City Offieial.
rejection by the City.Whenever so ordered,the undersigned agrees to
correct any work found to be in vialation of the condi[ions of this permit.
Signature of Applicant �'
�.2�c / l �� Signature ,City Official �
��2��,�'-�":Y�'.��� c--- -�-7-�—� � -�
Code: White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—ApplicanYs Receipt
����— � ° DATE TIME
CITY OF ORONO CALLED IN /�-' '��
INSPECTION NOTICE SCHEDULED ��"_��� �'r�
-�
PERMIT NO. COMPLETED �o"� • r� I• �5
� f
ADDRESS __����� C Gi-� C � � ��J -
OWNER �t�:-e_� /cc,y�- CONTR. �l�J,-�J
TELEPHONE NO.
❑ FOOTING O PLUMBING RI ❑ S�TE INSPECTION
❑ FRAMING ❑ PLUMBING FINA� ❑ EXCAV./GRADING/FILUNG
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL 8D. ❑ WATER HOOKUP ❑ UCENSING
Ly� � F�NAL ❑ METER SET/TURN ON ❑ COMPLAINT
� O PROGRESS O SEWER HOOKUP � FOLLOW-UP
y ❑ OEMOL ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP � ❑
�, �
= COMMENTS: (.t i� �--��� +:j�_ ���1�-✓� �
�
J
Q
W
_
J _ _
Q
Z
�
�
�
W
a
� '� �
0
a
�
0
�
W
�
Q
�
Z
W
�
W
�
� /'
d �, C��,�e w--�}r��-K_
W
�
W�WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
� ❑ CORRECT WCRK 8 PROCEED
U � CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
7 STOP ORDER POSTED.CALL INSPECTOR.
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector 473'7357
White/Inspector's File Canary/Site Notice