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, �ITY OF ORONO APPLICATION FOR PLUMBING PERMIT <br /> ' Box 66 (1335 So Brown Rd) <br /> , Crystal Bay, MN 55323 <br /> *************************************************************************** <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 wi 11 be sent by return mai 1 the same day the appl ication �€Becgt V�d.1991 <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 sit�. • - - <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 honr notice reqnired. <br /> ***********************************************************************,t*** <br /> JOB SITE ADDRESS: 1495 Green Trees Road <br /> Occunancy Type: X Residential Commercial <br /> OWNER'S N1�ME: Jim & Sharon Walker Phone No. : 476-1774 <br /> Mailing Address: 1495 Green Trees Road City: Orono <br /> CONTRACTOR'S NAME: STANDARD PLUMBING & APPL. C0. Bus. No. : 938-3589 <br /> Mailing Address: 8015 Minne on a Blvd . City: Mpls Zip: 55426-3092 <br /> Master Plumber's State License No. : 1364M 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 /> -------------T---- ---a----- ---T---- ------ ------------ --- ----�---- -------- ----- <br /> water Closet I-___ 1 R e s e t Sewer Ejector ___ <br /> -------------•� -------- ----•---- ------ ------------- ---- ---�----- ---------�-- <br /> Lavatory Laundry Tray 1 R e s e t <br /> Bathtub � : Washer <br /> ------------- ----- ------- -- --- ------ ------------- - ---^---- <br />� --- --------- ----- <br /> shower Water Heater 2 <br /> Ritchen Sink 'I ___--- Water Softner <br /> -------------+---- --�----- ------- ----------- -- ------- -------- ---- <br /> Disposal �_ Wet Bar <br /> Dishwasher Sump Pump <br /> Sillcocks Misc. (List) <br /> Floor Drains <br /> , <br /> ------------- ----- ---�---- --------- ------ ------------- ---- -------- ---------- ----- <br /> *************************************************************************** <br /> 1. Fixture Fee The minimum permit fee is $30.00 $ 30 . 00 <br /> Compute number of fixtures � x $5/fixture <br /> . 2 x $3/fixture reset <br /> 2. State Surcharge $ .50 <br /> 3. Postage & Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAI� PERMIT FEE (add lines 1-3 above) $ 32 . 00 <br /> *************************************************************************** <br /> The undersigned hereby applies to the City of Orono for fssuance of a Plumbing Permit, <br /> agrees to do all work in atrict accordance with the ordinancea 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 /> �--E-_-�-�- �- � <br /> � <br /> Signature of Applicant: � '}�""�" Date: 2- 1 5-91 <br />