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Home My WebLink About1986-8526 (Sewer Connection) GENERAL PERMIT CITYPERMITNO. g526 � CITY OF ORONO Date .� - '^-�s �� r.O.EOX 66 CRYSTAL BAY, MINNESOTA 55323 (612) 473-7357 Owner � � �� -. ' Address /�U S ��7 �LT' . Contractor � I,�� LJ 1 t'� `I F� � � Address � C'�X �� . 1 - � � City License No. � � State License No. REMARKS AND SPECIAL CONDITIONS �� w/ 5��,r r�� ' �� ,�� 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 $ � Grading, Filling, etc.) ❑Copper Municipal Sewer Connection Fee $:. �� i 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 ��/' l sepazate permit apProvals; and that this Permit does not grant authority to violate any Provision of any City ordinance or State law,rule ox regulation. All work shall be done in strict compliance with all City ordinances, building codes and/or ne�zn depaztment regulations, �a sh8u be This permit is not valid until the proper fee is paid and subject to inspection, approval or rejection by the c�ty. it is approved by an authorized City Official. Whenevex so ordered, the undersigned agrees to correct any work found to be in violation of the conditions of this permit. Signature of Applicant . Signature f City Offici � > � �� `�— �� Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy old—Applicant's Receipt 1 / JDATEf TIME �CITY OF ORONO CALLED IN �`�`� 1�4:_ �: �i p�'ra _ __ INSPECTION NOTICE SCHEDULED a ��' �U'�� ° �� ,� -- -- - n _ ---- PERMIT NO. �J��- , COMPLETED �_"��0� �(1: �� ADDRESS � r' OWNER CONTR. � ��.,� I� . TELEPHONE NO. f� FOOTING � PWMBING RI ❑ SITE INSPECTION I 1 FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING � ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS � ❑ WALL BD. ❑ WATER HOOKUP J LICENSING � � FINAL ❑ METER SET/TURN ON ❑ COMPLAINT ❑ PROGRESS � SEWER HOOKUP ❑ FOLLOW-UP � ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIR PLACE/WOOD BURNER � ❑ WELL TEST PUMP � C��t.r j�� _�j�Jer" � COMMENTS: _ � Loal�s ��F' w � z �. �. 'r-o C�v-eK 0 � � W � � � O � � O � W � Q � Z W � W � j d W � W �'WORK SATISFACTORY:PROCEED � PHOTO TAKEN �Q "'Cl CORRECT WORK 8 PROCEED C9'/ �] CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING l, CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN. ❑ STOP ORDER POSTED.CAIL INSPECTOR. � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. on site Inspector / 4,73'73S> � White Copy/Inspector's File Goid Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 6 `��`� �'�y� . PERMIT NO. cOMPLETED �2(� '� � ADDRESS �-3$� �� OWNER CONTR. TELEPHONE NO. O FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION ❑ FRAMING ❑ PLUMBING FINAL O EXCAV./GRADING/FILLING � D INSULATION ❑ MECHANICAI ❑ LAKESHORE/WETLANDS � ❑ WALL BD. O WATER HOOKUP 0 LICENSING lV ❑ FINAL O METER SET/TURN ON ❑ COMPLAINT � ❑ PROGRESS ❑ SEWER HOOKUP 0 FOLLOWUP � ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL Q ❑ FIRE PREV. ❑ SEPTIC MAINT. O FIREPLACE/WOOD BURNER � ❑ WELL TEST PUMP ❑ Q COMMENTS: � � J Q = v i j � •� � . 0 � � O W � � J O ,� '� 2 � 0 � w � Q � z w � w a � � d W � W ORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN Q O CORRECT WORK 8 PROCEED U ❑ CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING '7 CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN. ❑ STOP ORDER POSTED.CALL INSPECTOR. G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. on site I nspector 413-7357 White/Inspector's File Canary/Site Notice