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1999-011323 - lawn sprinkler
PERMIT C�'`TY OF ORONO PERMIT TYPE: .` 2750 Kelley Parkway- P.O. Box 66 Permit Number: -"=�`- ''`�' 3`'``'`��' Crystal Bay, Minnesota 55323 Date Issued: `��' ��'�`�- (612) 473-7357 :'i.�;�:M:.'`�`=; SITE ADDRESS: _.�_. _ '�;������:�_i_I i��� ��r�° ;.� ; . E . �Y. . S:y�1 1 F�'l�._i�'2i.v�-':_It���: DESCRIPTION: �_,._�r i�`���;�E i : �";;c�F; : ��{,J;[•,i :=,��h�i°�!��:=..���° REMARKS: FEE SUMMARY: �;:�,•—i: �:�� �•:_:� :�:ti�s `•i!' T: 's`:1 � �c�i I c_ _.�_ , .__ . _ _ . _ _ f ..-�s.._ _. . _.�__._�_.� _�.:.�a,. :-• ,�_�'._ _ a � � T , � .--.r .-�I.E, E_s 2.-t1'�.�r� `� '•; . : : ' _. .� . . .. _ CONTRACTOR: OWNER: _ �;�,�,� ; _�,,-,�.. _ _ � _-.— 'r��:�t�a��dr�� `�3=, `.��4-�!_f1-;Y[„T�v;� I i�i i r_ :_4�;3_t,.��_I i';v _ _ _ .�.L —I-�?- - _.. .-,-. ,„-,- .. i�-E� z'€�����L It.�i�ft.'>� �.�;.�.._�_'i �.,r��,�,.��`_ I°=_ �`�.�t�I'�����:.f€��1 �'?_ ., __ . . .__ � .�=.:-�?. _. . .._'�,�, .._.:�.�_, ���`�.t. ?� ��5...# i���,i �,t��:��;°o; d_� i3ri '� � i� "nt:; ;w. �� T�:i s '=="s;=•i._. .. .t+� . . . . ...._ i:_ . lwtr �—.:- .. _. �� •.�<� . ,_ �. ��-` �;�j, ��:� r;i > s �'�' �5 �� � _ .. ; „,�: L _, � , .v .� L �a��t,(_l�,�f,� �`�'f.•sfu;-i`:4�t���, }!;{!�� ���=,�-`q}�r 3_#� '•_�� �'� _µ�yf{ ''= a i_f'_1��'t�lki� �'r` � _��� _?"'.#�. .»_?� . _. . I . � �����:�� APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE . � ;:� ���� 1 _ 4� / Please check one: New Addition � JOB SITE I Z� S �I�'U�:c�Nt� �►�.'. . Owner's Name Kenneth H. DeHoff, Jr. Telephone Number J r �,�,% '3 — 1205 Shoreline Drive Mailing Address_ Wayzata, MN 55391 khdehoff@aol.com Sprinkler Contrac�u► , �vame TelephoneNumber Contact Person �"G��" ��)��� �oi RJ�� T�� ��,,�D�� Mailing Address � `VATER SUPPLY ' � .. Lake_� we11 City ��pR 0 8 1999 BACKFLOW DEVICE _ � AVB� �._____.E..� _:�a���a �.. ....,�..:.;;� Year of Make Model Manufacture uanti Sprinklers TOTAL HYDRAULIC CALCULATIONS Design Data: Area of Application: _,�..Sc�,...��' Coverage per Sprinkler: Sq. Ft. No. of Sprinklers: Total Water Required: GPM PERMIT FEE CALCULATION 1. Permit Fee $ 35.00 2. State Surchar�e $ .50 3. Mail-In Fee $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37 o c� The undersigned hereby applies to the City for issuance of a Sprinkler System Permit, agrees to do all work in st ' accor�ance with the ordinances of the City and State regulations, and certifies that all statemen s ma e o th' application are complete, true and correct. ;� Applicant Date� �r /� ******************** ************************************************************ Approved Approved with Corrections Denied Reviewed by: �7���� Date � CITY OF ORONO APPLICATION FOR LAWN SPRINKLER SYSTEM PERMIT GENER�L INFORMATION 1. You may apply for sprinkler system pernuts by mail(P.O. Box 66, Crystal Bay, NIN 55323) or in person at the City offices (2750 Kelley Parkway). Submit plans for review with this . application. 2. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL TI�PERMIT CARD IS POSTED ON THE JOB SITE. . 3. When any new construction or remodeling is involved, a sepazate building permit must be obtained. 4. All work must be done in accordance with City and State Building Code requirements. � 5.• Two (2) sets of working plans shall be submitted for approval to the authority having jurisdiction before any equipment is iristalled or remodeled. Deviation from approved plans will require pernussion of the authority having jurisdiction. Working„plans shall be drawn to an indicated scale on sheets of uniform size with a plan of the site so that they can easily be duplicated and shall show the following data: a. Name of owner and occupant. • b. Location, including street address. c. Point of compass. ' d. Location of septic system if applicable. e. Source of water supply. f. Pipe size. g. Pipe location. h. All control valves, check valves, drainpipes. i. Name and address of contractor. 6. All work must be inspected (final). Ca11249-4600. 24-Hour Notice Required INSTRUCTIONS Complete all items on this application. Incomplete applications will not be processed. If you have questions, ca11249-4600. 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