Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY. .MINNESOTA 55323 <br />(612)473-7357 <br />Owner./{'r/ A / t: <br />Contractor.ISA n rirJc.A <br />City License 7^ <br />REMARKS AND SPECIAL CONDITIONS <br />I\ 1(0(* (K 4 (4 c <br />CITY PERMIT NO.7827 <br />Date. <br />Address <br />Address <br />State License No. <br />mP( <br />lo-C Ck p)pr<T:ii fe c i L:> ci ~T''?r ctl <br />PERMIT TYPE AND FI E: <br />Inside Plumbing (#fixtua‘s__) <br />) <br />'^NEW □ ADDITION □ REPAIR <br />Water Meter (Size <br />Meter#___ <br />Remote <br />Municipal Water Connection <br />n Copper n <br />Municipal Sewer Connection <br />□ pvc Dcas* □. <br />MW( C SAC Charge <br />On Site Septic System <br />Fee S Water Well Fee <br />Me.hanical Fquipment Fee <br />Moving /Lilting Buildingn Fee <br />Land Alteration (Excavation. Fee <br />Grading. Filling, etc.) <br />Fire Fee <br />Fee S <br />C <br />Fee S _ <br />■Sprinkler System (Fire) Fee <br />Other; Fee <br />After-lhc-fact Investigation Fee1 ee S 1 <br />ACKNOWLEDCLMENT <br />Th* und#ria«n#d hervby •rkncmlediM r*c»lpt of Uilt Umiud <br />pennlU mdudlng accoptaAc* of all 9adaJ Information, <br />ftrrot, condlUoni or raqutramanta wdttan al>o%a. Tlia <br />undardgnad undrtaUndi and agrart undar paaaltt of taw <br />thmi thla pamill U ttrietly Umllad In mopa to lha work, <br />activity or tinpruvamant pacified: Uiat thia parmit does <br />not grant any authority to do work or acti«iUat raquiring <br />aaparala permit approvab; and that thk permit do« not <br />grant authoHty to vioUta any provtMon of any Oly <br />ortUnanra or SUta law, rule or regulation. All work diaXl be <br />done in etnet ctJtnpUance with all City ordinancee. building <br />codes andyor baalth dapartment regulations, and shall ba <br />mblert to intpaction. approval or ralactlon by the City. <br />Whanavar m ordarad. the undarslgnad agrees to rorrarl <br />any work found to ba in «1olaUf»n of the conditiom of <br />this permit. <br />Signature of Applicant <br />TOTAL <br />State Surcharge: <br />Total Amount Paid to City <br />Fee S r <br />Fee 5 30- SO <br />This permit is not valid until the proper fee is paid and <br />it is approved by an authorized City Offieial. <br />Signature of City Of^cial <br />Codc V^lthe lUcCopy Tanary lntp«ctor*i Copy Pink I inance Copy Gt^d-AppUctnCi Receipt