Laserfiche WebLink
1g:; <br /> CITY OF ORONO ')(; APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 `7 <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 /> ************************************* **/***** U <br /> *****I* *r******************** <br /> JOB SITE ADDRESS: //, /i J 7� iy 11� lv yy <br /> Occupancy Type: 1/ Residential Commercial <br /> OWNER'S NAME: 6e7. ., LZ/ Phone No. : <br /> Mailing Address: / ff City: <br /> CONTRACTOR'S NAME: 4ar/ I�. /171( (��p Bus. No. :/ <br /> Mailing Address : lip( Q.�lcb Si. City: S'LGcu,sZip: ;-Szt;(., <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 r <br /> Water Closet f i (Sewer E 'Jectorl <br /> Lavatory , LaundryTrar 1 <br /> '------------- ---- ,----1---. L <br /> Bathtub Washer <br /> 1 <br /> Shower I 1 Water Heater <br /> Kitchen Sink 1 _ Water SoftnerJ 7 I -- <br /> Disposal j Wet Bar -- <br /> 1 r- r---- <br /> Dishwasher i Sump Pump <br /> Sillcocks ----- Misc. (List) <br /> Floor Drains <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 co ect <br /> Signature of Applicant: �t, •...�, Date: C1J <br />