Laserfiche WebLink
� ` CITY OF ORONO �PPLIC�TION FOR PLIIMBING PEFiMIT <br /> Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> . *************************************************************************** <br /> General Instrnctions <br /> 1. You may agply for plumbing permits by mail or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage and handling fees shown below. <br /> Permit cards will be sent by return mail the same day the application is received. <br /> 3. Permits are not valid uatil yon receive a permit card. <br /> 4. Work must not begin unless the permit card is anailable on the job site. <br /> 5. Plumbing permits may be issued to licensed contractors only. <br /> 6. When any new construction or remodeling is involved, a separate buildinq pezmit must <br /> be obtained. <br /> 7. All work must be done in accordance with State Code requirements. <br /> � 8. All work must be inspected before it is covered. Call 473-7357. <br /> 24 honr notice reqaired- <br /> *,t,t***,t,t***********,t*,t****** * ********,t**�*�,t****,t**,t***,t**,t********,t**** <br /> - JOB SITE ADDRRSS: S�I.L � Vt <br /> � ..-. Occupancy Type: Residential Commercial <br /> OWNER'S PAIrII:: I�-e 1�h S W 19�S D� Phone No. : �� �6 � � 3 `� <br /> � Mailing Address: City: <br /> ' CONTRACTOR'S NAME: � D �1 0� l�cJ Bu s. o. : '7 7 g � �� � <br /> � Mailing Address: '�75 ower2 City: f��'7e Zip: ��YU <br /> Master Plumber's State License No. : o'�3$S H"/ City Cert. No. : <br /> � *************************************************************************** <br /> PLIII�ING FIXTQRE SCHEDIILE <br /> � _ (Show number of fixtures of each tyge on each f loor) <br /> ,. � '_' FIXTURE TYPE BSMT 15T FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER <br /> � �� �----- ---T----- ------------- ---- ----�---- ---- <br /> ������������� <br /> Water Closet / � � �. _ Sewer Ejector r <br /> ____________I====�________ ____.____I_____ _____________ ____ ___._____ _________ _____ <br /> _ r <br /> j � Laundry Tray � <br /> Lavatory � � � 2 <br /> . ---- -�----;------- --------- ------ ------------- ---- ---•----- ---------I ----- <br /> -------- - <br /> Bathtub I � I_ ,2, Washer <br /> ������1����N�������1 � ��� ������ ������������� ���� ���.����� ��������� ����� <br /> � . ; ������� . <br /> " • i � I / Water Heater j <br /> , _ Shower <br /> ' -------------�--------•--------�---- ------ w t--5-ft-- ---- ---•----- --------- ----- <br /> � � I ( <br /> _. _..:., Ritchen Sink � � f a er o ner <br /> � � � --- ------ -------------1---- -------- --------------- <br /> , <br /> ----------------------------;------ <br /> Disposal � ; f Wet Bar <br /> L__—_-_ -_—____ ______ _______�___-_ __-_ _-_•—__ -_____-__ __-__ <br /> _____________ _____i <br /> � Dishwasher � � / S� p� <br /> -------------�-----�---- -- --------- ------ ---p----P---- ---- ------- --------- ----� <br /> ._ ..-� Sillcocks 2 Misc. (List) <br /> ------------- ----- ---•--- -------- <br /> � �. Floor Drains <br /> ---�=--- --------- ------ ------------- -- <br /> 11riF*it****tk�t*�t�k�t�k*�k�F�t�k�k*�Ir�kir�k�t�k�t,t�ir*****�kit�t�k*�kik�tytyklkit�kit�k*******�k*�t**,tir*�t*�k�r*�r*** <br /> � � l. Fisture Fee The minimum permit fee is $30.00 $ <br /> Compute number of fixtures x $5/fixture <br /> - - x $3/fixture reset <br /> ���;;: <br /> - �� 2. State Surcharqe $ .50 , <br /> . 3. Postage & Handling (Only mail-in applications) $ 1.50 ' <br /> 4. TOTAL PER1riIT FSB (add lines 1-3 above) $ -� { <br /> *************************************************************************** <br /> The undersiqned hereby applies to the City of Orono for issuance of a Plumbing Permit, ; <br /> .- agrees to do all work in atrict accordance with the ordinances of the City and the � <br /> requlationa of the State of Minnesota, and certifies that all statements made on this � <br /> application are complete, true and correct. ' <br /> � <br /> � ��� �� Date: S <br /> Signature of Applicant: <br />