HomeMy WebLinkAbout1999-011743 - water softener �- � � PERMIT
� CITY OF ORONO - �� -- �-_`
PERMIT TYPE: `'"'�'�"�`
2750 Kelley Parkway- P.O. Box 66 - - _ `�=�
Crystal Bay, Minnesota 55323 Permit Number: ��-..-. . s . - -
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Date Issued: " � M � �" �
(612) 473-7357
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REMARKS:
FEE SUMMARY: i ��.- :-:: -
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1Mi T 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 retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS �1
POSTED ON THE JOB SITE.
3. Plumbing pemuts may be issued ONLY to licensed plumbing contractors and to property owners residing .
in the dwelling.
4. �Vhen 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: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. �ign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace
� Residential Commercial
JOB SITE: ��') �� �� 5� �t�,r��' R� . Zip:
O�mer's Name: '��i✓��' 1� �,)�,� Telephone Number: �-/�7 2� 1 `'�`:'='�
Mailing Address• City: Zip:
Contractor's Name: 603U CULL11aAN V1LAY Telephone Number:
Mailing Address: ity: Zip:
612�933-7200
PL G FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector �
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener ;,�
Dishwasher Wet Baz
Sillcocks Misc (list)
� .
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ; � '
�O4 . Sv x .0125 $ - , j��
(contract price)
2. State Surcharge. ** Add the State Building Code Division S �
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ �� � ��� .
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to r�e esti�nated cc�st
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci[y 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 $1,000,000 call the Department of Jnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
conect.
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Applicant'sSignature: � C` � �'` ���il Date: - ' ����
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