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C�� �� O�o�d �.��3 �pp�,z��go� Fo� ��.��g�� ����
<br /> � ]3ox 66 (1335 So Brown Rd)
<br /> Crysta� Bay, �9N 55323
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<br /> G�n�rsl Ynatrnc�fcmms
<br /> 1. You cnay epply for plumbing permits by mail or in person at the City offices.
<br /> ' 2. �5ailed in applications are subject to the postage and handli�g fees shown below. �
<br /> Permit cards wi11 be sent by return mail the same day the application is received.
<br /> 3o Per�fts are ao� valic9 trstt�g po� seceive a perm�t carda
<br /> 4. Work muat not begin unleas the permit card is available on the job site.
<br /> ,ti; 5. Plumbing permita may be issued to licensed contractors only.
<br /> 6. When any new construction or remodeling is involned, 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 /> 2� $ous notice require�.
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<br /> . �o� ���� �nn�ss: �t� (
<br /> Occupancy Type: Residential Cnmmprcial
<br /> —�_-_----------
<br /> Ok'NER'S ��a �e� � ��-� 4 Phone No. :
<br /> Mailing Address: g�.,,_,�R City o
<br /> CQA�TRd�1C�`OR°3 I��: �
<br /> e LB�� � . Bus. No. : �-( �.3 l
<br /> N7ailing Address: �• �,. Citye �q ,ip_ � ^;
<br /> � Mas ter P lumber`s State Licens o� e City Cer . No� :
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<br /> �I,UMBIPFG FFXTURB SCHEDUL}3
<br /> (Show number of fixtures of each type on each floor)
<br /> FIXTURE TYP£s BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
<br /> „ ------------- ---- ----+�---- -•- -�--- -------------
<br /> --r----- - ---- ----�----- --------- -----
<br /> Water Closet Sewer Ejector
<br /> - ------ ------------- ---- ---•-�---- ---------- -----
<br /> Lavatory LaunBry Tray
<br /> - ---- ------ ------------- ---- ---•----- ----------
<br /> Bathtub Washer ^
<br /> --- ----- ------------- ---- --------- ---------
<br /> Shower Water Heater
<br /> -------- ------ ------------- ---- ---•----- ----------
<br /> -----
<br /> - Ritchen Sink Water Softner
<br /> �— --- ----�---- ------ ------------- --- ---�----- ---_-
<br /> ---- -----
<br /> � Disposal � Wet Bar
<br /> --- ------- ------- ------ ------------- ---- ---•---- ---------
<br /> -----
<br /> Dishwasher Sump Pump
<br /> SiTlcocks ----- ------ Misc. (List)- ---- -e----- ---o------ -----
<br /> FloorDraina ------ -�---- ------------- ---- -------- ---------- -----
<br /> ------------- ----- ---�----- --------- ------ ------------- ---- --------
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<br /> �. F��g�re Fe� The minimum permit fee is $30.00 $
<br /> Compute number of fixtures x $8/fixture
<br /> x $5/fixture reset
<br /> 2� 5���� �ezgcha�ge $ a 50
<br /> 3� �a�f=ag� �: Ha�Td�ing (Only mail-in applications) $ 1 e 50
<br /> 4e �OTA�. PS��� F�� (add lines I-3 above) $
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<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 ordinancea of the City and Ehe
<br /> regulationa of the State of Minnesota, and certifies that alY sta�ements made on this
<br /> application are complete, true and corr cto
<br /> �
<br /> � �.
<br /> Signature of Applicant: `_ Date: ' � ^ ��
<br />
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