Laserfiche WebLink
GENERAL PERMIT CITY PERMIT NO. 7819 <br /> CITY OF ORONO � es— <br /> CRYSTAL <br /> 66 Date <br /> CRYSTAL BAY,MINNESOTA 55323 <br /> Ale-We <br /> (612)473-7357 ,/J <br /> Owner � J e-We J/ �Ji2 fC_Sd Address /3 8-5- -z n-nn GZ/IL;Q <br /> Contractor/vO,rl 7fi 2 . Address -71/0 eV L,Jel-Sktrt9 ,>i ('• <br /> City License No. 4tc,70 State License No. -Pmc.t-4_,0 <br /> REMARKS AND SPECIAL CONDITIONS <br /> Fina() - mai . <br /> PERMIT TYPE AND FEE: 0 NEW ❑ ADDITION 0 REPAIR <br /> Inside Plumbing(#fixtures_) Fee $ Water Well Fee $ <br /> Water Meter(Size_) Fee $ Mechanical Equipment Fee $o25--0 d <br /> Meter# <br /> Remote# Moving/Lifting Buildings Fee $ <br /> Municipal Water Connection Fee $ Land Alteration (Excavation, Fee $ <br /> ❑Copper <br /> n Grading, Filling, etc.) <br /> Municipal Sewer Connection Fee $ <br /> Fire Fee $ <br /> 0 PVC 0 Cast n Sprinkler System (Fire) Fee $ ,1 <br /> MWCC SAC Charge Fee $ Other %' - ! Fee $ Ii 3—U <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 requirements written above. The /1 <br /> undersigned understands and agrees under penalty of law State Surcharge: Fee $ " SV <br /> that this permit is strictly limited in scope to the work, <br /> activity or improvement specified; that this permit does pl--7 °O T <br /> O <br /> not grant any authority to do work or activities requiring Total Amount Paid to City Fee $ C / <br /> separate permit approvals; and that this permit does not <br /> grant authority to violate any provision of any City <br /> ordinance or 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, and shall be This permit is not valid until the proper fee is paid and <br /> subject to inspection, approval or rejection by the City. it is approved byauthorized CityOfficial. <br /> Whenever so ordered, the undersigned agrees to correct pp an <br /> any work found to be in violation of the conditions of <br /> this permit. <br /> Signature of Applicant Signat re of City fficial <br /> €"frkj <br /> Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt <br />