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1992-004202 - plumbing
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2195 Bayview Place - 17-117-23-43-0001
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1992-004202 - plumbing
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Last modified
8/22/2023 3:41:18 PM
Creation date
4/14/2016 3:15:02 PM
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x Address Old
House Number
2195
Street Name
Bayview
Street Type
Place
Address
2195 Bayview Place
Document Type
Permits/Inspections
PIN
1711723430001
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Lv c� <br /> CITY OF ORONO APPLICATION FOR PLOMBING PERMIT <br /> Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> *************************************************************************** <br /> General Instrnctions <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 nntil pon zeceive 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. A1 1 work must be done in accordance with State Code requirements. <br /> 8. A1 1 work must be inspected before it is covered. Call 473-7357. <br /> 24 honr notice reqnired. <br /> *******************************,t******************************************* <br /> JOB SITE ADDRESS: a I�!S �� u 1 c�s � L <br /> Occupancy Type: -��Residential Commercial <br /> OWNER'S NAMS: G(w,,�. t2„�.�-o� Phone No. : <br /> Mailing Address: City: <br /> CONTRACTOR'S NAI�: s%(,J i'Y)��O P� Bus. No. : �'�� 2-��� <br /> Mailing Address: 1 � ��.r1�e m� City: �J�c���- Zip: <br /> Master Plumber's State License No. : '36�, � City Cert. No. : <br /> *************************************************************************** <br /> PLUMBING FIXTURE SCHEDIILE <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----- --- ------ ------------- ---- --------- --------- ----- <br /> ------------- -- -_-r----- <br /> Water Closet � ` ( _-_-- Sewer Ejector <br /> LavatorY-----�-�- � -—�--- -�-- ------ Laundry_TraY- --- ---•I---- ---------�----- <br /> -,-- <br /> Bathtub------�----� ------- -- � --- ------ Washer------- ---- ---�--- --------- ----- <br /> � <br /> Shower � R � Water Heater � <br /> -------------�-----�--•----- ------- ------ ------------- ---- ---•----- <br /> --------- ----- <br /> � <br /> Ritchen Sink � j � Water Softner <br /> ------------ --- � ------ ------ ---- ----------- ---- ------ -------- ---- <br /> -*- - - - - - - - - - <br /> Disposal +_ 1 Wet Bar <br /> -------------1 --- ----- ----- ---- ------------ --- --•--- --------- ---- <br /> Dishwasher �- Sum Pum <br /> ------------ --- --`•-- ------- ----- ---P----p---- --- ------- --------- ----- <br /> Sillcocks "V Misc. (List) <br /> Floor Drains I <br /> ------------- ----- ---�=--- ---�----- ------ ------------- ---- --------- ---------- ----- <br /> ****it*******,t*************************************it**********,k************* <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 PSR1�!!IT 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 and correct. <br /> t <br /> Signature of A�plicant: � � v- Date: ��w�p�Z- <br />
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