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.��7`'� -�'3'�.`�z` <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 peraon 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 <br /> 5. Plumbing permits may be issued to licensed contractors only. ��. ,� ���� <br /> 6. When any new construction or remodeling is involved, a separate bui�.�ing 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 reqnired. <br /> *************************************************************************** <br /> JOB SITE ADDRESS: �( E �::,,-;��-;� � �. � . <br /> � Occupancy Type: Residential Commercial <br /> O�i�.R'S NF�AiE: � , � , �;, Phone No. : <br /> Mailing Address: r� � i - ri City: � <br /> CONTRACTOR'S NAME: � � ' � ;� , Bus. No. : `;�, ;�� � <br /> Mailing Address. - City: � :,r ;:, Zip: <br /> � � � ; � ; <br /> Master Plumber's State License No. : 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----- ----- ------------- --- ---�---- --------- ----- <br /> Water Closet 1 I 1 Sewer E7ector� 1 � <br /> Lavatory � J Laundry Tray <br /> Bathtub Washer <br /> Shower r Water Heater <br /> r <br /> Ritchen Sink -__-__ Water Softner <br /> -------------�----- --�---- ------- ---------- ---- -------- --------- ----- <br /> Disposal I_ Wet Bar <br /> ------------- ---- <br /> ------ ------- ------ ------------- ---- ---�----- --------- ----- <br /> Dishwasher___I_ __-___ Sump Pump <br /> --------- S ---- -------- --------- ---------- ---- ------- - <br /> Sillcocks Misc. (List) <br /> Floor Drains <br /> *************************************************************************** <br /> 1. Fixture Fee The minimum permit fee is $30.00 $ -' C'": <br /> Compute number of fixtures x� $�-/fixture <br /> x $3/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, an ,certifies that all statements made on this <br /> application are complete, true and correc � <br /> ' � . <br /> / <br /> � � <br /> �� / � <br /> Signature of Applicant: �C�'� � Date: �r So �-� <br />