HomeMy WebLinkAbout1996-008255 - water softner , . � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ���f_}#.��:;j��
Crystal Bay, Minnesota 55323 PermitNumber: {�{F;';:���
(612)473-7357 Date Issued: _
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY Or ORONO APPLICATION F@�I'LUMBING P�RM1T
I�ox G6 (27�U Kelley Parkway)
Ci•ystal Bay, MN 55323
GGN�I2AL INFOItMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards wi(1 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. Ylumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. Alt :��erk must bP �onP in accordance with the Stats Code re4uirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair ��Replace
� Residential Commercial
JOB SITE: a � `� S�n c;�� i.�.�r c�l �� . _Zip: �� �3 �
i3�i��zer'sivame: o�� S l���l�e1�+ -- Telepha;��:iva«�;er: y�I - 40 �3
,�.; Mailing Address: City: 'Lip:
, � � Contractor'sNatue: ;�,1�'�� p� „�A�,R,,,.�p���_TeleplioneNu►nber: �y �- �'a "� 7
(' ` MailingAddress: �: ��05 pq�6�! , City: i •
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�-�`�.��Il'�0 E��aPI!b� SCHEllULE 2105 DAC�f�'��..7 �T.
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FIX'I'URE E3SMT 1ST 2ND OTEiER PIXTURC f3SMT IST 2ND OTIIER
T'YPE FL FL TYPE FL PL
Water Closet Floor Drains
Lavatory Sewer Ejector
[3atlitub Llundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener �
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
-��D� x .0125 $ �j � •
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � � U
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT F�E (Add lines 1-3 above) $ �'-Z � `4"
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed 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 owi�cr,
tenant oi any oiner pany the red�o�iaLie n�arkci vnlae uf siich items mnst ue adued to [he cstic�aied cosc
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 $1,000,000 call the Department of Inspectional 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 City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, tn�e and
correct.
Applicant's Signature: Date: �� �' S �
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