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1997-009154 - plumbing
,�.. PERMIT �CITY OF ORONO PERMIT TYPE: - 2750 Kelley Parkway- P.O. Box 66 �`"� ='=� �-� Crystal Bay, Minnesota 55323 Permit Number: ��::�i_�i.��f u (612) 473-7357 Date Issued: _ . .. . SITE ADDRESS: �;i)>�i.r _�T;i�L:``,it�i..=�_311 `+:�' i":�-I ' . � ' —i1l--- - - i"lji�: ��' i��� _._. _ _ _ _ _. DESCRIPTION: _ � � A, i Rl;�t'� �=''E _��•,�,i ,':��a ;=:-���.�j,i�. ;fc« �=�;�`��_EttL_'•w� �'�_J��i�;�1}-1',� �cti i Y�:; ���:+�•„ ,�-1',F-�'�I�t�:;_ ��X,���:T i svfj ! 1,h:{1�;;;;=i =„_i�'i!�E�?=s'. REMARKS: FEE SUMMARY: . . .._�_`. . . _ _I�'3 . _. `.i: ,_i.�'�t_ E N:_' . i•'S , _.'-l_' �'?#'?5�.._ ii� _.^,__.^_ ��'�'s7.a.ss�e.� �_k.e���i�����i�;"{:i _.___.._.__ .....'.$.'j.•`a� �i�'i..iHJ, !!�� ��-.?t . �ii =,�1(��F.t;'.:i�, Y _ _ . _:t CONTRACTOR: - _ - _ _�...-. - OWNER: _.. . .._� _. . - }�r��° -���°�;��;�•��:�4�� ��i'�-�';;�':�°�:�,N' _. ._ ..z t.'��t�` f t i} ;;`ji-:1 � �j�.`• �' } �'(:.;�.;: �fj �t.f� {{ il l ,�-t`,�.,% - _�._` �f_•:;�`. �L` �:�_ ,���. __.. _ �����_`t,�;_ - -�-�P,i ' _ ;�`s:= c w:i ' -.i'� " -;,`�i;���� I :.g�.; .�5.`�'=:`�1 _ ._ _. . . .. .. _._ _ 1'�i� _ _�=+�.`=�_`�. __ _rr;..- ._ �.... _ __ . - _�i 1,�;;; _ _. . .. z-� r:•- � �..::- r-.-..,-.,.�.._ .. � i y ' - - ' E # � ._-�_ � t�.��:;�...i•_ � q_,ti.�_ � � _p .; �1 x.�. _. t ..f . -t.�"y, ��� � 'r";"•�� t Si i+.. .�:v, :;.�i:,,tr;,.__�_ . t'._: . . �:� �"` ._..,4:___ f t.._. _�.�'.-_;, . _ .;'T'�_.., . . .... . ._... �i._.. . .. . ,_ .__. . . — . ��. � r � �. _.� y.�. .. � ,.»... } ' Y ..- " ._ ., L,{ . { =.J �' i� i'"• " ,` .` — '' � r " . ��"',.�.'»:i�" �....i� }'".}�!..l }"4{:��....!._�+� #Y'�. '...� f'!�..�_ i�_ �� . .. .. _. ..�l: � .., .. . .. .«.e..^} �,_ _._ . _ . f• . .....__ � .� 7 .� `� �. � .�.,�, � 4_�i�...� ..! _j,.�.11���<%�lr:�s��;� ��.(. S :�`�t`-+E` . �_. E,..,. �. . . ... ei 4�_11 t�t�{z ��}_f�'•. :•i s. ,._... . _ +� ; ». . �Y� ' f� � � �/`� �� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR � • esn . -- �� ......a.�� �r �v.�.+ � .vciv� irv.�tcv �. �I { ; ���l ;�„ CITY UF URONO APPLICATIpN FOR PLUMBING PI�R.MIT uux fib (2750 Kelfey Parkway) CrY�tal Btty, MN 3�323 1• Ycw mdY upPiy for plu�bin� pertruts by rtr�il or In perscxi at We City offices. 2. Permit euds will ba sent by return mt�il afler a c�view ta completed, PBRMITS ARE NOT VALID UN'CIL YQU RBC61Vi's h PFiRM1T. WO�� MUS7',j�0'C B�GIN UN'�'j .TI3 . p�R►yIT G�RD S AQ�'TLQ 413.Tt3$�o� sr•r� 3, Plu�nbin�pcumits may bc issucd OiV�.Y to liccneod plumbing contractore a�id to�roporly ownera residinQ !n the dw�lling. 4. Whsn u�y now con�truction or rcmodeling ia invotved, a sepurate twildin�permit m.ust bc obtainod. '�. All wnrk tnuat be dune in�c:cordance with the State Caie reqoirettu�ntA. b, AU wark an,rt be in8pectocl and air tastod before it 1�covered, Ca1147�-7357. Z4-hour aecn;a n�quircd. ���,: Co:npkce all items on this application, Compute the permit fee. Sigt�and date C�lC 4CI'1��Ci1t1U11. INCOMPLET� APPLICA7'IONS W1LL NOT BE PItOCESSED. If you have qucatioris, ca11473-73S7, P1eNsc c�eck onc: _,� New Addirion Rcpalc ,_,_ Replacc �_ Residential Corrun�rcial JQB �1'I�E: ,� C' c �,��r;,�,��, :�� Z1(I. Owner'�Name: Z�� -h � Teteptwnc Number: Y ii-�`%v c�` Mailtng Acidre�se:f�_ N��i�1�1 L�Q LE" /3/vt:�� City: �;-,,f'<< �,�d Zip: �;S�/�{�' Caqtr�ac�ur'sName�77��� �.�,��. yG,y,,�� Tel�hone wnbcr: � �-� ����- M�ilin�Addret�: �/��Or��i cc � �� . G`jtY� ' '� ' �� �P�_�S���l�' m.�n�r��tC F�XTV�Ai�..�S�SF�� FIX'CURt3 BSMT 15T 2ND OTHER FIXTURE 85MT 1ST 2ND �THER TYPE FL FL TYPB FL FL Water Clr�et Floar Draitac Lavatory 5ewdr Ejector Bathtuh Lundry'Cray .�._ Shnwet W�her � kitc.hcn Sink Wuer Eieater �� Di4�osc�t W�tec Sof'tanar' �� Dlshw•ather Wct Bar si�icock� Miac illat) __...__... ��j;$�,� F�E CALCULATION 1. 1.ZS96 of Co�taact Prscc* or - S - � ,c � .:� x .0125 S �� � �- (contr�Ct pricc) 2. ,�j�,,,����, ** Add the 5tate Building Cocia Divisiat� Surcharge to each permit. x .00OS � �L� (contraa p�icc) ox $,�0, whichevar is greater 3: Pos�,�¢� acr� Han� (�nly mail-in applications) $ �,.�p 4. Tfl7°AL PERMIT �EE (Add lin�s �-3 above) $ , �,�/• ^r"�r „ * CONTR�G"]'PR1CF 0�JOB COS'I'menn,the actu�l oc estlmated dollAr�moant chat�cd fot thc permltted work inc�lud3nB material�, labar. pro�t, astd qtl�er tixed costx. lt is tho �twunt to be chargcd to the customar for th�work dane. 1f any matorial.equipmet,t, l�bor,or installation sro fu�ttished by thc ownet, lonant or any other pa�y rbe reasoaable merkat value �f euch items muat be added ca the estiinated ec�at or cantrnct price far peratit fce putposce. In tho cvent thet thore is a d[spuce on the arnouns of the job cast, the C3.ry may requeat the surmisaioa af a Kigned capy of the ectual contract. '�'' The S'TA'TB SURG�IAAOA 'rs .00OS of the c�ntrpct pdce undar S1,400,UQQ qc S.SO - whichever is grr.uter. Far valuatfona over S1,U00,000 call the Deputment of Inapectfanal Servicea for the price. The uttderaigned hereby applies to the City for issuance of a Plumbing Pernnit� sgreee to do al1 work i�t �trict �ccordence with the ordinances of the City and the regutaEions of the State uf Minn�xota, and certi�er Ehat all swtcmct�te m$dc on thia application are complete, truc amri co�'rcct, \, APpliaant'sSignature: �� ���� � �i�� bate: �„� �,'" `��� 1