Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612)473-7357 tCcfriA <br />CITY PERMIT NO. _ 7521 ' <br />Date <br />Owner <br />Conti, ctor <br />City License No.. <br />(jJi/rfu tix. Ihuo/) - £»Jut>^aT LIT Address,dbin^c^ Kkcj <br />t^oAchy^Address ^ fflO\/ <br />State License No. <br />RKMARKS AND Sl'tCIAL CONDITIONS <br />I ~~ A 0 rti’lA LjIkUCO <br />-CunfAnJl li. <br />2. - locl-tA <br />/j?A\ <br />PERMIT TYPE AND FEE: /Q-N£iV^ <br />Inside Plunibing ( # fi.\tiires___) Fee S, <br />Water Meter (Size____) Fee S. <br />Meter <br />Remote # <br />Municipal Water Connection Fee S. <br />□ ADDITION □ REPAIR <br />On Site Septic System <br />Water Well <br />Mechanical Equipment <br />Moving/Lilting Buildings <br />..opper <br />Municipal Sewer Connection <br />□ PVC □ Cast CL <br />Fee S_ <br />MWee SAC Charge Fee S. <br />Fee S. <br />Fee S. <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Other;. <br />Fee S Q 0 .Of) <br />Fee S_________ <br />Fee S_________ <br />Fee S_________ <br />After-the-fact Investigation Fee S <br />ACKNOWLEDGEM ENT <br />The undersigned hereby acknowledges receipt of tills limited <br />permit, including acceptance of uU special information, <br />terms, conditions or rcQulrements written above. The <br />undersigned understands and agrees under penalty of law <br />that tills permit is strictly limited In scope to the work, <br />activity or Improvement specified; that Oils permit docs <br />not grunt any authority to do work or activities requiring <br />separate penult approvals; and tiial Uiis permit does not <br />grant auUiority to violate any provision of any City <br />ordinance or State law, rule or regulation. All work shall be <br />done in strict compliance witli all City ordinances, building <br />codes and/or health department regulations, and shall be <br />subject to inspection, approval or rejection by Uie City. <br />Whenever so ordered, the undersigned agrees to correct <br />any work found to be in violation of Uie conditions of <br />tills permit. <br />Signature of^pplieapt <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee S...Ol <br />Re <br />This permit is not valid until the proper lee is paid and <br />it is approved by an autliorized City OITieial. <br />Sldia/ure ofCilv OlTiy^^ <br />Code: Whitc--I ile Copy Canary - Inspector’s Copy Pink“l inancc Copy (lold-Applicant’s Receipt