Laserfiche WebLink
CITY PERMIT NO. g 2'�� � <br /> GENERAL PERMIT <br /> CITY OF ORONO I�_� I_ � <br /> P.O.BOX 66 Date <br /> CRYSTAL BAY,MINNESOTA 55323 <br /> (612)473-7357 <br /> ��� �� .� <br /> Owner ��'�'���' e'(�� Address L �L. �7� . <br /> Contractor Address <br /> City License No. State License No. <br /> REMARKS AND SPECIAL CONDITIONS <br /> PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑REPAIR <br /> Inside Plumbing(#�xtures_) Fee $ Water Well Fee $ <br /> Water Meter(Size) Fee $ Mechanical Equipment Fee $ <br /> Meter# <br /> Remote# Moving/Lifting Buildings Fee $ <br /> Municipal Water Connection Fee $ <br /> Land Alteration (Excavation, Fee $ <br /> ❑Copper � Grading, Filling, etc.) <br /> Municipal Sewer Connection Fee $ Fire Fee $ <br /> ❑ PVC ❑Cast n �� Sprinkler System (Fire) Fee $ <br /> MWCC SAC Charge Fee $ � Other: Fee $ <br /> On Si�e Septic System Fee $ After-the-fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> The undersigned hezeby acknowledges receipt of this llmited <br /> permit, including acceptance oY all spedel informatlon. <br /> terma, conditlons or xequfrements wzltten above. The <br /> undersigned understands end agxees under penelty of law State Surcharge: Fee $ <br /> that thia Permit is strlctly limitsd in ecope to the wosk, <br /> activitY or improvement sAecifled; that this permit does � <br /> not �ant az►Y authority to do wark or activitiea requiring Total Amount Paid to City Fee $ <br /> seperate permit apProvals; aad that this pe�it doea not - <br /> grant authorlty to violate aay provieion oY any City <br /> ordinance ox State law,rule os xegulation.AIl work ahall be <br /> done in ah3et compltance with all CitY ordinancea,building <br /> codes and/or health department regulatlona, and shall be This permit is not valid until the prope* <br /> sub9ect to insPection, approval bz reiection by the City. it is approved by an authorized City(` <br /> Whenever so ordered, the undetatgned agrees to correct <br /> any work found to be in vlolation of the conditions of <br /> this Permi� <br /> Signature of Applicant Signature f City Offici <br /> � c <br /> Code:White—File Copy Canary—Inspector's Copy Pink—Finence Copy Gold—Applicant's A <br />