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HomeMy WebLinkAbout1998-010584 - plumbing PERMIT CITY. OF ORONO PERMIT TYPE: - �4750 Ke�ey Parkway- P.O. Box 66 �`'�-=�E'1���-�wf�� Crystal Bay, Minnesota 55323 Permit Number: ;-;i�_;__;� (612) 473-7357 Date Issued: �Y;;Y�{�y� ;.�;_; SITE ADDRES�: �°�;c.,;; 'w����Y�ii�����.� �:�.� .!tj �' T t.� '�'i)--� 1:�—',,:::�;-1 �,—i;ii i::��. DESCRIPTION: °� �"T z:�t i�°�°:: �`.t��f?��3 t'1�� �`r=t'Et't 1 t• I Y�''-' ��,i I��t'i;�'•=� r'1!��ia[:,i�i�� ���i��:. �';,��:�,:: i:�:t���;F�t:j�:�_ _ �-.1�t,i-����! _�!����., �. t-# f if ii i L'�.�i 1��'_� 'i f_!i�l._'�F ��y��' REMARKS: FEE SUMMARY: ����:t�t��;��i���� �� i , i;:�;t; ,�;a;� �=�� �i�.ts .tf:_! t1;;I_ I��� _...____ __�.�s`{�; `=��,���rt'i�t'�3%? _._____ _�� ��....' (3�t.�], �Ya ~�'i�,,;(.i , i ii =,;t�y��i.�_�t.�j �`�1�.�,�i��t i CONTRACTOR: _ ;��;,�:� �i�,;t. — OWNER: � �, �° tii��W�i��v I;��t! - � - _��.�i= �=�i=�°��I L+ ' � F,°i_i}��;: '_:j I iry �;��:t zLt7ii :�;�-!�r3���i{I si3 :,;[; :r:;,_• _. _ f� �• t�l �`=� (°iiy _�is.i_'t� t_i�'{�i�s°�3 f'�l,� c��,;';j t I�`� �I`'�` i _ { f-.t'_'� _ - -�—���.'� ��"'�� �_��':�1#�3i:��3tj�,t�[i {-{i=�ii�=,i-.'r` �i`;�._;!f}�:�;f-:W j:���,;t:�,[.r,;�:!��li=,� i�;f !'*sr�F:.� 1�;i-_1'`.`''riL_ '_+�'�"'`:'-'E �. �F'`v ! _ -�.�—i—r.r 1 e-� . .-r. � , � . .... _ .� t j - � � _� s. �` � � ' i� ;4{{� �i�. f s} ._� �4'i,f,i ; � x^{ � �i�i . �" #�e' �� N'��' =,r`�:.•.�F I��' i��3�,{ �i��?�EE°�� #�4 �,;:; �L� .4 `-�� ._ . .... _ _ __ . . _ :_�� 1_i�il_!�r{E�i i���if_����tl-'s�'�t_��`r� t=:�'�t�'J '._�!{��:= i 1}= (*�.�i`v:i�V-,:_:!_.# t i-i 1=;�,} 3:_!F!�`„i: !.a_i=f: �:i...i��;_;�4'.^:{(-,:`,��_ . � . � .i;�;v(�-i(./ ' lY ,�/`r., APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,C?��`"--JF ORONO � 6124730510 06/23/98 09: 59 � :02/03 N0: 506 � � . CITX OF UI�.UNO APPX,ICATION FQR PLUMBING PERM�T �lox h6 (2750 Kelley Parkway) Crystal B�y, NNiNN 593�3 Q ENE�LAI.�oxm�a rr o rr 1. You rna,y apply for pIumbing permita by mni! or in peraon at the City officea. Z. Pormit cards wlll be :ent by return mafl after a teview ia complctcd, PERMITS AR� NOT VALID UNTIL YOU RECETVE A PERMIT, Wp�tK M1�ST N4T ��GIN UNTIL THE P�RMIT CARp IS PD T�D ON T��„�a S17E 3. Pl�unbing permlts may he ieaued ONI,Y to licensed plumbing contractors and to property ownera reslding {n the dwclling, 4. Wt�an any new conatruction or rcmodeitng fa involved, a scparace buitding permlt must be obtftined. S. All work muat be done in eccordance with the State Codc rcquirements. 6- a!! �a.�:±� uas: b� i;�s;risc:cu 1LlCl �IT ICS[t� hCCOfC I1 IS COV�rCd, Call 473-7337, 24-hour nodce requiscd, Tns.�r�ctto»� Co:nplete all items on this application. Campute the permit fee. Sign and date . the certi�catioii, INC011�tPL�7'C APPL[CA'TIONS WILL NO'I' BE PROCESSED. If yau have queatkons, �all 473-7357, �, Plcesc check one; New Addition Rcpair �tcplRco �' Rcsidenti�l �- CommerciIll � � � .�CSB SI'T'�:���' , .__..-_____���►�.y�s��____�� �� Zip. �V3.3 i � Owner's1'darne: �yae�,�� TclephaneNumber; � Ma3ling Addrese: �F, v, f3 s�,._ _5=� � �� City: �pL s Zip:y.-5.�4a - -��i9 � Contractnr'sN�m�; �. �. �� �,�� TelephoneNumber: ,3� ,- � ,�,� —�s i S ' MailfngA.�dress:_..:� <- -�,,� �4vc City: _rn,��s Ztp:_ sss-4 0 �" � . ��,.UM�TN� F T �N �GH�D�.E pIXTURf3 BSMT 1ST 2ND OTHBR FTXTURB HSMT 15T 2ND OTHBR TXPB FL, ��, TYPE FL FL Wator Cloaet Floor Dre.ina T..evdtory Sewer Ptjecror Bathtub L.aundry Tray 5bower Washcr K3tchen Sink j Water Heater D1�pvipl Water Sot'tener Dishw:uhcr WQ� g� Sillcocks ��,` Miac (Itst) 3 ��� �,,�-s'N��, auz J� � � /o��� � CiT� OF ORONO � b124730510 06/23/98 09:59 �1 :03/03 N0:506 . . EE81�iT.1F�CA�I�cul-AT�L4� 1. 1.259� of �,��cc Pric�* or M��y��($35.001 /�y �o� �� x .0125 $ /�/o, o 0 fcontrRct price) 2. �.S�rcharge. ** Add the St�te Building Code Division Surchar�e to each permit. x ,0005 $ �"' /oo (contrtct prfce) or $.54, whichever is grca�er �• pas�i�� a�SL��.1111E (4nly mail-in applications) � $ _ 1.5Q 4, TOTAL PERMIT FEE �(Add lines 1-3 abovc) . � ��7 , ��� + CONTt�.AC'1'PRICE oc lOB CO$T means the actusl or esclmatcd dollar amount charged for the permltted work includit� materinla, labor, profit, a�nd othcr fixed casts. It is tha �asoi:at ta bc cbargsd to che cetesomer foz tbe�ark done. if�ny mate,�ial, equipmcnt, lsbor,or installadon are furnithed by the owncr, tonaat or Ar►y other party the re onabie market value qf�uch items muat be added t� che e�timatod coat or eqntract pilce for permit fee p rposea. In tbe event thgt thero is a di�pute oa the amount of the job cost, tha Clcy msy requeat the sub�ni� 1on of a eigaed copy of thc actual coatract, "'* The STATE� SURCHARQE is j0005 of tho contrnct pr{ce under 51,000,000 or S.SO - w6ichever it greater. Por valua4lona over S1 j00Q,0�Q call the Depanment of Inspeetional Servicoa for tho pric�. Thc undersigntd hercby applies to I thc City �'or issuance of a Plumbing Permit, �grees to do all work in strlct acCordancc with the ordinanccs of thc City and the regulatians of ihe State of Priinsaesota, and certiflcs that all statements made on this application are complete, true and cornct. , APpllcant'e Signature, � Dat�: �:�—� g