Laserfiche WebLink
CITY OF ORONO APPLICATION FOR PLOMBING PB�RMIT <br /> Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> *************************************************************************** <br /> General Inatrnctions <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 poatage and handling fees ahown below.• <br /> Permit cards will be sent by return mail the same day the application is received. <br /> 3. Peraits are not valid until pon receive a per�it card. <br /> 4. Work muat not begin unless the permit card ia available on the job aite. <br /> 5. Plumbing permits may be isaued to licensed contractora only. <br /> 6o When any new construction or remodeling is involved, a aeparate building permit muat <br /> be obtained. <br /> 7. All work muat 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 zeqaired. " <br /> **********,�**************************************************************** <br /> JOB SITB ADDRESS: '��4� � �Cs s t�� �'.� <br /> Occupancy Type: �Residential Commercial <br /> `�;'4 r� -� <br /> -�Hi�S NAME: ���Y�� ��` �9 ������� Phone No. : �������'� <br /> Mailing Address: �.��:"� �;'�t� � � City: �p�� <br /> CONTRACTOR'S NAME: ��'����� �����o�� Bus. No. : ��•y�����. <br /> Mailing Address: G�°��,<� � �, �^ o��t,� ��� City: Zip:�� <br /> Master Plumber's State License No. : � �� City Cert. No. : <br /> ***********************************************************************,�*** <br /> PLUMBING FIXTURE SCHEDULB <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 OTAER <br /> ------------- ---- ----+----- ---T----- ------ ------------ --- ----�--- ------- ---- <br /> Water Closet � � � sewer Ejector <br /> - ---- ---- ---•------ --------- ----- <br /> Lavatory � ' � � Laundry Tray <br /> , --• ---- --------- ----- <br /> ` Bathtub � , � Washer <br /> ----- ---- ----�--- --------- ----- <br /> Shower � Water Heater <br /> ---- ---• ---- --------- ----- <br /> Ritchen Sink Water Softner <br /> ------------- ----- --�----- -------- ------ ------------- ---- --------- --------- ----- <br /> Disposal Wet Bar <br /> ------------- ----- -------- ------- ------ ------------- ---- ---•---- --------- ----- <br /> Dishwasher Sump Pump <br /> - ------ ---------- ----- <br /> Sillcocke Misc. (List) <br /> - ------- ---------- ----- <br /> Floor Draina <br /> ------------- ----- ---i---- --------- ------ ------------- ---- -------- ---------- ----- <br /> *********************************************�***************************** <br /> 1. Fixture Fee The minimum permit fee is $30.00 $ <br /> Compute number of fixtures x $5/fixture <br /> x $3/fixture reset <br /> 2. State Surchasqe $ .50 <br /> 3. Postage � Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PBRMIT FEE (add lines 1-3 above) $ <br /> *************************************************************************** <br /> The undersigned hereby applies to the City of Orono for iasuance of a Plumbing Permit, <br /> agrees to do all work in strict accordance with the ordinances of the City and the <br /> regulationa of the State of Minnesota, and certifies that all statements made on this <br /> application are complete, true and correct. <br /> i <br /> Signature of Applicant: Date: �������6 <br />