HomeMy WebLinkAbout1997-008783 - water softner w PERMIT
CITY OF ORONO PERMIT TYPE:
' 2750 Kelley Parkway- P.O. Box 66 - _
Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued: - .�� ^
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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��CEIV�D �
FEB 2 n 1991 �
C1TY OF ORONO ����`� 'y'" `''r�'��C APPLICATION FOR PLUMBING P�RMIT
13ox 6b (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI, INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and ro property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. A.�1�v�,r!:r.�usi he ir_�pecte� ?nd air teste� hwi�orc i?is��,�ere�!. Ca!: 4?3-7357. 24-ho�r ne!i�� rec���ir�d.
Instriictions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCrSSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair �/ Replace
�--Residential Commercial
JOB siTE: , 3��� �2F��7 ;�I����;�� f��-��"� z,p: �,�3c�
Owner's Name: 7 <� �� �l�� �'� �• rJ Telephone Number: _ L>1^Z�j�`-
Mailing Address: ;;�5-r'r: '; ,->_�: �i ,�'t� City: �_ Lip: ��,-��,�
Contractor'sName�ULLtGAN WATER CONnlT�nN�}�P�loneNumber: ��.s'--�� �'c,
MailingAddress: 6030 CULLlGAN WAYCity: _ Zip:
MINNETONKA, MN 55345
PLUM�I�'�9B[��'fi�E SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYP� FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener �
Dishwasher Wet Bar
Sillcocks Misc (list)
,/I D �
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I'I�RMIT F�E CALCULA7'ION
1. 1.25% of Contract I'rice* or Minim�nt Fee ($35.00)
,���� � S. x .0125 $ ->>;� '�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � '>�'
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TO"TAL PERMIT F�E (Add lines 1-3 above) $ ;� � <-
* CONTRACT PRICE or JOB COS"T melns the actual or estimated dollar aniount charged for the pennitted
WOI'K 11lClliC1111�, tC1AtCtI�IIS, 1�1�JOi", �7i0ill, 1Li1C� Utilf;i flnci� CiJ;i[P,, li :S i�1B i1111Giiilt CO 'l7C Ciiai�"f;l'i t0 i�i�
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenaz�t or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,00O,OOU call the Department of Inspectionnl Services for the price.
Tlie undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
�vork in strict accordance with the ordinances of the City and the regulations of the State of
Mini�esc�t��, and cerlifies that all illlf;I11C11CS made o« tl�is anplication are complelc�, h-�ae ancl
correct.
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Applicant's Signature:�`" %� �yG� Date: /� �o—`�7