Laserfiche WebLink
,- ' NERAL PERMIT ��PER� �N� 8 s s o <br /> �'� OF ORONO <br /> � <br /> Po.BOX� �� �'- l�-�� <br /> CRYSTAL BAY,MINNESOTA 55323 <br /> (612)473-7357 <br /> Owner �rtl� � r► _ �c.-u� Address / ��� d-�'lO1�C'.� � YIP� �. <br /> Contractor 'j � Address 13��J"� !'/0/72L�� /YQ.��. �� , <br /> �l.P�e sQ�,r �, �.�_,�� � r,P� <br /> p'�n. <br /> City License No. � �� City <br /> REMARKS AND SPECIAL CONDTTIONS <br /> A <br /> /- -�u.vnaG� c�L)-�l.c� 1- �i �1�a,�-f �; <br /> 1— ��C. 07/��,n ��� <br /> i— ���� F�ta� .� <br /> .. <br /> PERNIIT TYPE AND FEE: �NEW O ADDTTION ❑ REPAIR ❑ REMODEL <br /> Inside Plumbing(#fixtures ) Fee $ Water Well Fee $ <br /> Water Meter(Size ) Fee $ Mechanical Equipment ' Fee. $.�� <br /> Meter# Fireplace/Wood Stove Fee $ <br /> Remote# Moving/I;ftinng Buildings Fee $ <br /> Municipal Water Connection Fee $ Land Alteration(Excavadon, , <br /> O Copper O Grading,Filling,etc.) Fee $ <br /> Design Review Fee $ <br /> Municipal Sewer Connection Fee $ Fire Fee $ <br /> ❑ PVC ❑ Cast ❑ <br /> Sprinkler System(Fir _ Fee $ <br /> MVVCC SAC Cfiarge Fee $ Othe - ` �-� Fee $ '� <br /> On Site Spetic System Fee $ <br /> After-th�fact Investigation Fee $ <br /> ACKNOWLEDGEMENT TOTAL <br /> State Surcharge: Fee $ �sv <br /> The undersigned hereby acknowledges receipt of this limited permit, <br /> including aooeptance of all special infom�ation, tcrms, conditions or Total Amount Paid to City Fee $�`� <br /> requiremenu written above. The undersigned understands and agrees . <br /> under penalty of law that this pertnit is strictly limited in scope to the work, <br /> activity or improvement specified;that this permit docs not grant any ���/6� <br /> authoriry todo work or activiues requiring separa�e permitapprovals;and <br /> that this permit dces notg►antauthority to violate any provision d'any City <br /> ordircancx or Stare law,rule or regulation.Atl work shall be done in strict '�pemut is not valid until the proper fee is paid and it is approved <br /> compl�nce with all City o�diimnces, building codes and/or health <br /> department regulaeons,and shall be subject to inspection,approval or bY�TI aU[110i1Z�Clty O�1C181. <br /> rejection by ttie City.Whenever so ordered,the undersigned agrees to <br /> correct any work found to be in violation of the conditions of this permit. <br /> Signatwe of Applicant <br /> - n • Signature f City cial <br /> .�ryv� X�, �� <br /> Code: White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—ApplicanPs Receipt <br />