Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />CITY PERMIT NO. 8291 <br />Date 1-13 - 3 t0 <br />Owner rrn'_1Lf Address <br />Contractor ) ' 4-) Address ('( )a;:t4 Z et ta� <br />City License No. a() Y State License No, <br />REMARKS AND SPECIAL CONDITIONS <br />PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION <br />Inside Plumbing (#fixtures_) Fee S <br />Water Meter (Size—) Fee S _ _- <br />Meter# <br />Remote # <br />Municipal Water Connection Fee S <br />❑Copper ri <br />Municipal Sewer Connection Fee S <br />❑ PVC ❑ Cast El_ <br />S,L <br />MWCC SAC Charge Fee S-,--- <br />—_ <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />Fee <br />The undersigned hereby acknowledges receipt of this limited <br />permit. including acceptance of as gecial Information. <br />Meme, conditions or requirements wtitten above. The <br />undersigned understands and agrees under penalty, of law <br />that title penult Is strictly limited In seops to the work. <br />activity or bnptowment epeoiflad: that thls penult does <br />not t➢ant any suthorib to do work or activities requiring <br />Operate permit *Spruvals; and that this Permit does slot <br />greet authority to violate 0y Provision ON any City <br />ordinance or Slate law, rule or ngulstion. AS work @ball be <br />done In stalet compliance with all City ordinances. bull&" <br />codas and/or health dePaelment regulations, and @ball be <br />subAcl to Inspection, approval or raisetion by the City. <br />Whenever an ordered. the undersigned agmas to correct <br />any work found to be In violation of the conditions of <br />this penult. <br />❑ REPAIR <br />Iter Well <br />xhanical Equipment <br />wing /Lifting Buildings <br />nd Alteration (Excavation, <br />Grading, Filling, etc.) <br />re <br />rinkler System (Fire) <br />Investigation <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fee <br />S <br />Fee S <br />Fee S <br />Fee S I <br />Fee S.1 <br />Fee S - IS- G <br />Fee SSD S <7) <br />This permit is not valid until the proper fee is paid and I <br />it is approved by an authorized City Official. <br />City <br />Code: White—Fac Copy Canary-- Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt <br />