Laserfiche WebLink
GENERAL PERMIT CITYPFRMITNO. 8456 <br />CITY OF ORONO Date_ -L <br />P.O.BOX 66 <br />CRYSTAL DAY, MINNESOTA 55?'? <br />(61:)473-'357/ <br />Owner CrL)h / T e Address ld Lv <br />Contractor/ t If lit /'►'1 bl rl a— Address-UW <br />City License No.— State License No. <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE <br />Inside Plumbing Ofixtures_I <br />Water Meter (Size <br />%leter/ <br />Rentote ti <br />❑ NEW ❑ ADDITION ❑ REPAIR <br />Fee S Water Well <br />Fee S Mechanical Equlpnlrnt <br />Lifting Buildings <br />Land Alteration (Excavation. <br />%tunicipul Water Connection Fee S— _-- — --- Grading. Filling. etc.) <br />❑copper f7 <br />3(J,(fL1 <br />Municipal Sewer Connection Fee S Fire <br />__ <br />❑ PV(c <br />MWCC SAC Charge Fee S - <br />On Site Septa: System Fee S- <br />---Fe <br />ACKNOWLEDGEMENT <br />The undrrsigned berths aeknurledser rtcelpt of thi Limited <br />permit. meluding aeeeptaner ., •1 speual inlormaUon, <br />tortes, conditions o, requ.-•ments rntters abuse, rhe <br />undersigned understands and as.— under Penalls of lar <br />thatthis P"mill is strictly bmll" .n —l's to the cork. <br />.c Us l is or Zpn.sement speelfled: fat this Perron due• <br />_t grant any authorin to do nark a-IUIIUes rtqulrtng <br />sepuste Permit apprusals. and that thu permit does not <br />pant authority U, Notate any prostsion of a $ City <br />ordinancr or State carr. Nle or regulation. All rock shall be <br />dune in strict ci mplianre with all ('ite ordinances, budding <br />,odes andlor health &,," ,rent regulauons, and shall be <br />sub:ct to Inspection. approsal or rtKe Unn by the Cith. <br />When— ndr"4. the undersigned agree. t. carrel <br />an' work f—rid to be In %1,Aab.m of the cond,tlans of <br />thl. permU- <br />Signa, n Applicant <br />rinkler System (Fire) <br />her: <br />ter -the -fact Investigation <br />[-01 Al. <br />e <br />S <br />Fre <br />S <br />Fre <br />S <br />Fre <br />S <br />Fre S <br />Fee S <br />Fee S <br />Fre S <br />Slaty Sur,:bu-rge: Fee S r �V <br />Total Amount Paid to City Fee S ). SI) <br />T[uti pennit is not valid until the proper fee is paid and <br />it is approved by an authorized City Official. <br />Signature of Citv Offl I <br />c.&. white --F(k Copy Canary Inspector's COPY Pink I mane C .p Gold Applicant's Receipt <br />