Laserfiche WebLink
a 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 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 /> *************************************************************************** <br /> JOB SITE ADDRESS: ;1.. t^ f ( Y• /- ) ,,,2 / f c-' <br /> Occupancy Type: - Residential Commercial <br /> OWNER'S NAME: j 1.,S J j) .. i 7 a,ti' Phone No. : <br /> Mailing Address : City: <br /> CONTRACTOR'S NAME: c A.f F9 es_ ._. --_ S 4.: /t)e Bus. No. : `/ j ? _ / ‘ S' <br /> Mailing Address: 2. Q1,,,.• g .a , y City: et ../a .i, l,, Zip: s,---" 7/ <br /> Master Plumber' s State License No. : /1-' /c. / I. 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 /> Water Closet I ] -If <br /> T <br /> Sewer Ejector --- <br /> Lavatory / / Laundry Tray <br /> / <br /> Bathtub Washer <br /> Shower 1 / Water Heater - / <br /> r <br /> Kitchen Sink / Water Softner <br /> Disposal I _ --- -- Wet Bar y <br /> Dishwasher 1 I -- --- --- Sump Pump <br /> Sillcocks - Misc. (List) <br /> Floor Drains 7 <br /> *************************************************************************** <br /> 1. Fixture Fee The minimum permit fee is $30.00 $ <br /> Compute number of fixtures x $5/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, and certifies that all statements made on this <br /> application are complete, true and correct. <br /> f <br /> Signature of Applicant: r ..c ` - ` - Date: /2/'e, // <br />