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... ......�. �._.... _ . . � . ...� �...�_....�....v .. ._�..�_�.... P. <br /> Box 66 (1335 Brown Road South ) <br /> Crystal Bay, MN 55323 <br /> ************************************************************************** <br /> General Information <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Mailed in application are subject to the postage and handling fees shown below. Permit Cards will <br /> 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 muat not begin until the permit card is poated on the job site. I <br /> 5. Plumbing permits may be issued tostate-licensed plumbers or to homeowner/occupants who intend to ' <br /> actually perform their own work in their home. ° ' <br /> 6. When any new construction or remodeling is involved, a separate building permit mu�� be ob�a�ined. � <br /> 7. All work must be done in accordance with the State Building Code Requi�ement�'a. , <br /> 8. All work must be inspected before it is covered. Call for inspectionst7,?1 hours in advance `� <br /> (473-7357). , •f � �� <br /> Instructions. Complete all items on this application. Compute the permit'f�§�.e S�a� �a�l.+`�t[e j ', I}� <br /> certification. Incomplete applications will not be processed. Zf you has�':any questions, call , Y� <br /> 473-�357. . � <br /> .;;� ' <br /> WALK-IN PERMITS--Apply at City Offices, 1335 Brown Road So. (County Rd 146)" � � '; � E' Y�� <br /> MAIL-ZN PERMITS--Enclose Fee--Mail to: P.O. Box 66, Crystal Bay, MN 55323 " " <br /> ******�k*****�F*******�k***************�r***********�k*�ctt*�Ir*******ak****�Ir***ek*** <br /> JOB SITE ADDRESS 475 Oxf ord Road <br /> Occupancy Type: X Residential Commercial <br /> Work to be Performed by: Licensed Contractor Owner/Occupant <br /> OWNER'S NAME M. F. Schroeder Const. Telephone No. 566-511.4 <br /> Mailing Address 3324 - 75th Avenue No., Brookl.yn Park, MN 55443 <br /> PLUMBER'S COMPANY NAME Welter & Blaylock, Inc. Business No. 881-3171 <br /> Mailing Address t5657 Lyndale Ave. So., Bloomington� MN 55420 <br /> Master Plumber ' s State License No. 257 City Cert. No. 28274 <br /> ************************************************************************** <br /> PLIIMBING FIXTURE SCHEDOL$ <br /> (Show Number of Fixtures of Each Type on Each Floor ) <br /> FSXTURE YYPE BSMT. Lst Floor 2nd Floor � Other Floors FIXTURE TYPE BSA±T. lst Floor 2nd Floor Other Floors <br /> Water Closet 1 3 Laundr�Tra <br /> Lavatorv ], i:asher <br /> Bathtub �7�' 2 «ater 'cieater <br /> Shower 1 1 Water Softner � <br /> Kitchen Sink l 4isc. Fixtures: I <br /> Dis�osal _ � (List) ��-- <br /> Disiwas`er �l <br /> ; -- — - <br /> wet Bar <br /> Sillcocks <br /> FLoor Drains I <br /> Sum PumD � <br /> Sewer Eiector � TOTAL vUMBER OF FIXTUR£S � <br /> *7k*7k***7k*7k71t7k*7k*****�1c7k�t7Y7k*�c*****7k*�k*********�k***7k*7k7k*7k*7k******'********�k�lc*7t* <br /> PERMIT FEE CALCULATION <br /> 1. Fixture Fee. The minimum permit fee is $25. 00 . <br /> Compute number of fixtures 24 x $4/fixture $ 96.00 <br /> 2. State Surcharge $ . 50 <br /> 3. Postage and Handling (Only for Mail-in applications ) $ 1. 50 <br /> 4. TOTAL Permit Fee (Add lines 1-3 above ) $ 98.00 <br /> ************************************************************************** <br /> The undersigned hereby applies to the City of Orono for issuance of a PLUMBING PERMIT, agrees to do all ' <br /> work in strict accordance with the ordinances of the City and the regulations of the Minnesota State � <br /> Building Code, and certifies that all statements made on this application are complete, true and <br /> correct. % <br /> � ,, . ��,� _ = 11/14/85 <br /> � <br /> Signature of Applicant Date � <br />