Laserfiche WebLink
4-1'/CoQ <br /> CITY OF ORONO APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> *************************************************************************** <br /> General Instructions <br /> 1. You may apply 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 until you receive a permit card. <br /> 4. Work must not begin unless the permit card is available 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 building permit 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 hour notice required. <br /> ***************************************J*** ******************************** <br /> JOB SITE ADDRESS: .7 w S 7 1.4 j 7 <br /> Occupancy Type: Residential Commercial <br /> OWNER'S NAME: C./.41--//, lj`.p •�/pf,�Je1-71" Phone No. : <br /> Mailing Address: ?7 3 wQ S 7>' Lei S 7(--- City: O r-o ,,._o <br /> S <br /> CONTRACTOR'S NAME: 0h-.yah All# 1 k..- - Bus. No Y 7�2 C7 7 <br /> Mailing Address: g.2 s--- 2 / r"' " iii. City:4 /0 1'4,- Zip:i313, <br /> Master Plumber's State License No. : 21'.(S- City Cert. No. : <br /> *************************************************************************** <br /> PLUMBING FIXTURE SCHEDULE <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 /> .a T , <br /> Water Closet / Sewer Ejector <br /> Lavatory Laundry Tray <br /> Bathtub `_---_ Washer _ / —_---_ _ <br /> --- <br /> Shower `----_ Water Heater / ` <br /> Kitchen Sink Water Softner <br /> Disposal Wet Bar <br /> Dishwasher Sump Pump <br /> Sillcocks Misc. (List) <br /> Floor Drains <br /> *************************************************************************** — <br /> 1. Fixture Fee The minimum permit fee is $30 .00 $ <br /> Compute number of fixtures x $8/fixture <br /> x $5/fixture reset <br /> 2. State Surcharge $ .50 <br /> 3. Postage & Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (add lines 1-3 above) $ <br /> *************************************************************************** <br /> The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, <br /> agrees to do all work in strict accordance with the ordinances of the City and the <br /> regulations of the State of Minnesota, and certifies that all statements made on this <br /> application are complete, true correct. <br /> Signature of Applicant• �_ajj...e-, Date• 9 '‘ <br />