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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT r , <br /> Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <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 you receive 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 hour notice required. <br /> JOB SITE ADDRESS: <br /> Occupancy Type: — / Residential Commercial <br /> OWNER'S NAME: _5�t! /p Phone No. : <br /> Mailing Address: City: <br /> CONTRACTOR'S NAME/. - L BUS. N�o. : <br /> Mailing Address -cL �' / City: ,�/v Zip: �i. � <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 ------ Sewer Ejector <br /> ------------- --'1--- ---- --- ---- ----- <br /> LavatoryLaundry Tray J <br /> ------------- --- --—---- --- -- <br /> Bathtub Washer <br /> -------------- <br /> Shower <br /> ------------Shower Water Heater <br /> ------------ ---- -- --- ---------------------------------- --------- --------- ----- <br /> Kitchen Sink 'I Water Softner <br /> -------------1----- ------- -------- ----- ------------- ---- ------------------------- <br /> DisposalWet Bar <br /> -------------1---- ------ ------ ------ ------------- ---- ---•--------------------- <br /> Dishwasher---I- Sump Pump <br /> Sillcocks 11 Misc. (List) <br /> Floor Drains <br /> ------------- ----- --------4---------------- <br /> 1. <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 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, and certifies that all statements made on this <br /> application are complete, true and ..correct. <br /> Signature of Applfc Date: <br /> i <br />