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CITY OF ORONO . APPLICATION FOR PLUMBIN6 PERPIIT ;
<br /> . . . _.Box 66 ..(1335 -So Brown Rd) --. _ __,�. �a. _.. ._.. -,����` . � _..
<br /> .Crystal :,Bay. .MN ..,: 55323 . . :: . : `7 _ _
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<br /> General Instrnctions .:� .�,�. �'. _ � � �- � :�.-�-- - .=. - �.� �--
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<br /> �-� �1 =You may apply for;plumbinq permitaiby;aisil or_ in person.at the City offices� �,,,,�...,.>�' r �
<br /> y �`2.�-�Mailed-3n'"applications_are'sub ject�to othe�postaqerandThandling fees-.shown below '
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<br /> ` �'- ,.,�Permit_'cards'will_be sent by return mail �the same day the application is:receiped . �
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<br /> 3 ;�Pexsits are not valid until yon receive a per�it card ��-- ;= = � Y
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<br /> -- ;. 4 '��Pork�mnst not begin unless the permit cnrd;is`available oa the job site ���� ,�.�-:,�;� % �_ �
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<br /> � 5 z,Plumbing permits may be issued to licensed contractors only ���� ������*•� � _.
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<br /> "6 �`�WhenHany ,new construction or remodeling is involved, n separate building permit muet h � .'
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<br /> be obtained. . - .. �r �
<br /> 7. Al1 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 bonr notice reqnired. .
<br /> ' ::u'r F„�;�,,. . , ., :_ _ • �' �
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<br /> JOB SITE ADDRSSS:^- C�'.� c�- � ;�'�- '�r c. l.�.l� TJ �:;w-t�� e. �.
<br /> : ^*�r- - .Occupanc �T e '"�: ' *����Residentia��- -�--.� Commerc al �� �,�,���,.��s.��.,,����
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<br /> OWNER'S NAl�1S: �. �-(i s.� � ... ` Phone No. : .. , ' -
<br /> Mailing Address: City:
<br /> � . r��..� lS � ^-�- sus. N . : `'���f S 3� T
<br /> CONTRACTOR S NAME.
<br /> Mailing Address: � <<- � City:��h-��-`�' � Zip: S `E�t
<br /> Master Plumber's State License o. : City Cert. No. :
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<br /> � PLUMBING FIXTORB SCHEDOLE : � : .
<br /> . (Show number of fixtures of each type on each floor) " "
<br /> FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
<br /> ------------- --- ---+----- ---T----- ------ ------------- ---- ---- ---- --------- -----
<br /> Water Closet � � � Sewer Ejector
<br /> ------------- -�-- - ---- ----•---- ------ ------------- ---- ---•----- --------- -
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<br /> Lavatory � � � ----- Laundry Tray �
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<br /> Bathtub � Washer
<br /> -----
<br /> Shower
<br /> � - Water Aeater
<br /> . - ------- - - ---�- -=--- ----- ------- -1-- ---�----- --------- -----
<br /> - ---
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<br /> .: _ �� -- �- �_-- ` = Water Softner � �`'- -
<br /> - Bitchen Sink .�....�_ ` " _ :
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<br /> ' Disposal ` ::; - - , j - .. - Wet Bar � � : .�. . . ' :
<br /> Dishwasher ( �. _ Sump Pump
<br /> ------------- ----- -------- --------- ------ ------------- ---- ------- --------� -----
<br /> Sillcocks : - �... . _ Misc. CList) � ' ' '
<br /> ------------- -- -- -- — -- -- ---- - -- - - - --- --- -
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<br /> Floor Drains ( - -------- ---- -------- -- ---- -------- ---��--- --�- � -
<br /> ------------- -- -- ---+--=- - -- L --- . -
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<br />� - 1:�"Fixtnre Fee The minimum �permit �fee �is $30.00 �' $ ��h�'�`���'"`"�'`� -�_
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<br /> . '; Y��Compute number of ;fixtures ����x :$8/fixture ,��.�. t�� * , ����,��� _
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<br /> _ � � ,�.,�:�.�,. ;�, } � �-� -� �� -�� �x $5/fixture reset s ��..,.,._ .. �
<br /> ;`1&.;Y}.� � �!' '�'�'.�",}.�`"a�,''�..9 a'rSJ�A ''t }!y�7 ""+�°"� «. J,"l'!2�'��G .1�"`�, '°�y�ro.."''''{� ": "" ,u 1 _... . . ��}� =•
<br /> ..� 4 SR"w'�d }�N �.�a �.: .1-§r.:d 9.- �r: t.: l�.lLl3uiF� n .C:' .yC- .�,.�. 1 c}. r o�,�^w,
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<br /> - •- 2 .�r State Snrcharge�� �,������;��,��, � ��,.,�,. $ �:.� r,�,t- � ��.5 0 �-`�:�
<br /> .. � �.ar*�a�t�- • , . ..�. �..�� . �� ....
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<br /> _�3. Postage: i� �Handlinq {Only .ma 1� n app� ;;ca ons , . . . . '.50. . ..
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<br />� "'�"� "� ��4.�TOTAL�PBRl�IIT u'F$S�(add��lines�I„3�above 3_� $ ''"'"�'�, •
<br />��� �• " !k ik!t!k!t!k!k!F!t tk tk!k 1k 1t 1t tk_!k tk!k ik�r tk!k!k*_tk�k**ik tk�k!k!k!t!k�t 1k!k tk�k!k*!!!k!k tk dk!F�k!k 1k�c ik ik tk ik*tR�k ik it tk!t 1k 1k!t�k!k tklk ik!k!k!k;
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<br />�� �.,. r� R� The'une�e'rsigned hereby�applies to,�,�Ftie�City�'of Orono�for iasnance�ofe a P inmbiaq P�r�� t,
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<br /> . -- �� agrees 'to do'al l work in "strict 'accordance-with�.the�oidinancea ;of _sthe'�'Ci'ty and .�the _
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<br /> . ;,, regulations of the �State�'of l�finnesota, ,and certifies tha't al l statements made on this ' ,
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<br /> : application are complete,�true .and�correct.
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<br /> ,',:��:�._Signature_of °A�plicant. �-: .. Date ` �K> ��
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