Laserfiche WebLink
` 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 yon 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. 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 /> *************************************************************************** <br /> JOB SITE ADDRESS: � i +�' 1-�0<< �'-'��/� I��/��"� �� �'�`��'_ <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'S NAMS: ff-����'�2 TS Phone No. : <br /> Mailing Address: 3 �5' �����. ;'� ��� '� � �� City: <br /> CONTRACTOR'S NAME: �"-j��1�- %✓�-�y r�s��� Bus. No. : '!°%�' �C�� <br /> Mailing Address: I�=�����-�sti�� f�� �om �-9�i City: L�v�r � ,��-,- Zip:-s'.�;.s�. <br /> Master Plumber's State License No. : `?j� ti' City Cert. No. : <br /> ***************************,t*********************************************** <br /> PLUMBING FIXTURE SCHEDULE <br /> (Show number of fixtures of each type on each floor) <br /> FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTAER FIXTIIRE TYPE BSMT 1ST FLOOR 2ND FLOOR OTAER <br /> � ------------- ---- ----a----- ----r----- ------ ------------- ---- ----^---- --------- ----- <br /> Water Closet -1 _�_ ----- Sewer E�ector <br /> ---- <br /> Lavatory 2 Laundry Tray <br /> Bathtub Washer <br /> ------------ ----�------- -- --- ----- ------------- ---- ---^----- --------- ----- <br /> Shower � Water Aeater <br /> ------------ <br /> Ritchen Sink � Water Softner <br /> -------------1---- ------- -------- ------ ------------- ---- -------- --------- ----- <br /> Disposal Wet Bar <br /> -------------1---- ------ ----- ------ ------------- ---- ---.--- --------- ----- <br /> Dishwasher Sump Pump <br /> _____________1____ __ _ ___ ________ _____ _____________ ____ _______ __________ _____ <br /> Sillcocks Misc. (List) <br /> Floor Drains � <br /> ------------- ----- ---�---- --------- ------ ------------ <br /> *******************************************************�t**************�t**** <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 � Handlinq (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 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 correc • <br /> , <br /> Signature of Applicant: ��' Date: �-`� � �l� <br />