Laserfiche WebLink
CITY OF ORONO APPLICATION FOR PLUMBING PBRMIT <br /> Box 66 (1335 So Brown Rd) 3�� <br /> Crystal Bay, MN 55323 <br /> *********************************�*�**a!** ****************************** � <br /> General Instrnctions � <br /> 1. You may apply for plumbinq permits by mail or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage an�d 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 until you receive a peroit card. <br /> • 4. Work must not begin unlesa the permit card is available on the job site. '� . <br /> � � 5. Plumbinq permits may be issued to licensed contractors only. � <br /> 6. When any new construction or remodeling is involved, a separate building permit must � <br /> ' be obtained. '- ` <br /> 7. All work muat be done in accordance with State Code requirements. _ <br /> 8. Al 1 work must be inspected before it ie covered. Call 473-7357. ;� <br /> 24 honr notice reqnired. ' <br /> ' ***********************�O*�**** ******** ******************************* ' : • <br /> JOB SITB ADDRESS: � ���� �' <br /> Occupancy Type: �_Residentia Commercial <br /> O��'S N�. ���/�,�' Phone No. : . <br /> Mailing Address: ,�2�5 City: �C-- <br /> ,. <br /> CONTRACTOR'S NAME: � Bu s.( N�. : �j'3 �7I� �. <br /> Mailing Address: City: ��I�� Zip•� � <br /> Master Plumber's State License No. : / City Cert. No. : <br /> *************************************************************************** <br /> PLUMBING FIXTIIRE SCHEDOLE <br /> (Show number of fixtures of each type on each f loor) <br /> FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER <br /> ------------- --- ---+----- ---�----- ------ ------------- ---- ----�---- --------- ----- : <br /> Water-Closet -�_ ---�-- ---�-- ------ Sewer_Ejector ---- ---•----- --------- ----- <br /> Lavat------------- -/�-- --�--- -- � --- ------ Laundry Tray � <br /> ory -- -- ---- ---•----- --------- ----- <br /> Bathtub � � Washer � <br /> Shower ---__' /- ------ --/---- ------ Water Heater_ - /- ---•----- --------- ----- <br /> ---------- - -f- - - .,. <br /> Kitchen Sink � Water Softner <br /> ------------- ----- --�----- <br /> Disposal / Wet Bar ; <br /> ------------- ----- --�--- ------- ------ ------------- ---- ---•^-- --------- ----- i. <br /> Dishwasher � Sump Pump ' <br /> ------------- ----- ---- --- ---�---- ------ -------List)- ---- ------- ---------- ----- �` <br /> Sillcocks--- -� ---•--- --------- ------ Misc_-(------ ---- ---^--- ---------- ----- <br /> . __ �. <br /> Floor Drains ` <br /> ---�---- ---------- --- :. <br /> --+---- --------- ------ ------------- ---- ,: <br /> *************************************************************************** �. <br /> U, u-- D � <br /> 1. Fixture Fee The minimum permit fee is $30.00 $ r <br /> Compute number of fixtures � x $5/fixture ; <br /> � x $3/fixture reset ' <br /> � <br /> 2. State Surcharge $ .50 : <br /> 3. Postage & Handling (Only mail-in applications) $ � <br /> 4. TOTAL PERMIT FEE (add lines 1-3 above) $ � �'��"S v � <br /> *************************************************************************** <br /> The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, j <br /> agreea to do all work in strict accordance with the ordinances of the City and the I <br /> regulationa of the State of Minnesota, and certifies that all statements made on this <br /> application are complete, tru and correct. <br /> � D � � - 90 ; <br /> Signature of Applicant: Date: � <br /> i --- . - . �;,�- <br />