Loading...
HomeMy WebLinkAbout1991-003769 - plumbing + , ,�. PERMIT ` ��TY OF ORONO PERMIT TYPE: ���,a��;�t,�� 1335 Brown Rd. South • P.O. Box 66 Permit Number: t��?_���'� Crystal Bay, Minnesota 55323 Date Issued: i�F�i�.�=�r'�1 (612) 473-7357 SITE ADDRESS: �:�1�.� ��TH �,VE N _�E �'. I .I'�i. . :t`i—11�—i:��—_�1—C�i:314 DESCRIPTION: =' i=I�;i%1��=.:�: �'i tari►c�i,-��� F`�rrr�i t• ;y��� r=.i r T?}'r�'*�'_; �'�.C.iii��:��ii�� �`��)'�:: i�y1��� n�'��iF%���ii.:�= i ��JATE� �:L��'_��T 1 Li���i=;i!�r�;i � :_:;�t�WEf. �p,r�� � � M„, , ����r �a �� 1 p ,,,� `� �x,y � �s: � r w i�„ �� ��i"r � 4M u� ,��� � �-s� '� �6i e�' �l� fi{}iiA!Ti y �jy� , � ) y� f� �A .. ., ���,��,�. . Lrl! 1 IJI 4'!1L'IfV � .� � � ��.^,� � �'���ia e,'� ��pm�� � L•t_:.�a'tr'C iirC7fC � ��� ��� �y� � 5"y&,��,'� �n�'��^� '�ti�r�✓` : i i ine�r� vi r .e�..i.. � � �: ;�.�� �� s �� t�M'�h°c ��.,i�, ' r!1 •tli:;rlr i`! # �yl�M� d �p W„ta � � e� �B .tr'1JJVC��tt�V � ry ���� ��v � �t z`> ��,� "' vi i��it ,'�v.v'v � r� � �� �j���%� ���y�m�,�"'� � �i"� � '�.�-. ;:;.';•'.:i:tf�i�ll �i f k '" 1ri'il..LVVVVV ��' �' ��.'���; �,t ,� .� N��r l�� i:1 L L f� •�V � � .�' � -� .. '��' >y': t�'11Z�!'� • � ri� z� � �:„, q�yy ` �' - �,� L+tLL•! iL +�'1:�rJV ; t� 4 4l� � . . �. . !:Z�:�L f!.f!...'L:�S!!�� 4'1!� :. sk ._. �, x r��F m��, a. �F��� ryn� �a.�n � t t 1.L•L.1 t r i.rrnd a V ��� � '` �a� , r^r��°� �::{�:.�.�%t �••�tti i�{�� �i�•�' �� y Y y,��`A��+ 7lt1aJ:iV LVV1 !)ti�l . 1�� L� � � �= c. N�Mti ;}' ii.�j 4 �r�� �. '�,.��„ ,�; �,,,. � . , � — ._F .�. . . . . V L�: J.f/ 1 REMARKS: FEE SUMMARY: ��c(=.+C FCC �s.���_), f 3{a '_�ut�Cf i�tr��E ----------�'='—�-'_' T��t•�I �ee �:3t:t.Si i CON.T A�To R -- �F'F'z i.ca"�. -- OWNER• :�T�I f�f1�::Fi'�i?.1°`_� �'LE�G I�+lC: ";�tt 7i i 1�.::i�c; t•1C:F`�-iEFi:1��E�'d G�`il�t I El.._ f LcCfC� Li-s��::c L�1C:Y Fi�.= �1�� F•TH r'�Vc hJ Ek{:E�'1l—i�gh !`1�`d :��:::��. U:�#�i� i�An::E i'ii�1 ��:;��, t,f'�j y i L�t.I{}—�,,r_.�!._i 'S' iF' ; E�.="•Ti .�!F"f• C�['iF'C-.•/ €�r-�—:s :»• ' _" '..':""' Fi "}.i — x'rt'it—' �T _' T� T�.��.�. �. S,r'�:�"p. 'l":. 3�iG _��`�!?GIl�_•1'•_+l4r L+ t'"!GI'�.Ci:'�� Fi�...=s:i�_::�} '._. t"r r;i''�i- _.�i,,.i��,� � i_i } ihf}�•.0 1 �'-:;= t'{�t:.FS�_ i i`31'�f";a.�V'G.!'fL".SY ! -� _��' t'_�•!{` L r t�� t-i�;iJ i-i'•.];1C�:�: �j !_3 ;..! I i1�� ,E��_�!' I(`� i i S � i, p j`;:_:: - �t:r• ..; L f' � - � - T �7�Y- . . �� �',r:,-�r.•;' - - �?.�r t ..,C . . . ._._. .1 _ � :_ �!.�-f �_G ?I 1 E�� i-�=1.._L_ _ .� , i .... � r �T:.' ": i'•T rvi'f" i a—' . : ✓ -; C i S «.�_4;.`,{ .C{ r r •.} p"��' _'F.i'Y� . r�. .. . Is t I�r � l�f1i_34*{i+ +_+fll�?.i�t-lt���t:.�_ t=f��l.? :�!t-6 I r. i..�F� Iji�i�}�IC=�i_� i F-i z��_�1�4..+.Z f ii�i �.i_I�1C: F'iW_[_,=`.� a l�r_}`lt:.!�t •_ . � APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE �' , . , • CZTY OF ORC:IO �,PPLIC.�TICiJ �OR PLII.iBI.IG PER�'+�SIT Box 66 (1335 So Brcwn Rd) Crystal Bay, MN 55323 *************************************************************************** General Instrnctions � 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fees shown below. Pesr,tit cards will be sent by return mail the same da1 the application is received. 3. Permits are not valid until you receive a permit card. 4. Work must not begin unless the permit card is available on the job site. 5. Plumbing permits may be issued to licensed contractors only. 6. When any new construction or remodelinq is involved, a separate building permit must be obtained. . 7. All work must be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Call 473-7357. 24 honr notice reqnired. *************************************************************************** JOB SITE ADDRESS: p� / / ; � {`1 �c l �`� . Occupancy Type: Residential Commercial OWNER'S NAME: Phone No. : Mailing Address: City: CONTRACTOR'S NAME: S fL f Vl I� YGl C(S' Y��' /l�C' Bus. No. : C3- l�� Mailing Address: l Q� L{'C L�c City: �,c �-e 4iuY Z1F�SJ i 3/ Master Plumber's State License No. : ' City Cert. No. : *************************************************************************** - PLIIMBING FIXTIIRE SCHEDUI,� (Show number of fixtures of each tyFe on each f loor) FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER --�----- - - --------- -------- ---- ------------- _�----- -- --- �----i- r--- 6:ater Closet Sewer Ejector _____________!____� _______1__ l____I______I=====___-____�____ ___._____ _________ _____ i � � � Laundry Tray � � Lavatoryj —--- -------�------ ------------ --- I---•---------------� ----- ------------- '------- -I- __ Washer � _1_ � Bathtub � I � -- � -- --^----- -------- ----- Shower ------i-----I------ � -I----�------ Water-fieater-�----�---•----- ---------I ----- -------------�------- - - � - -•— - Ritchen Sink � I Water Softnerj I � ------------------ -------- -------------- ------------- ----�1--------- ---------I----- -I ,- i , Disposal Wet Bar � � � �------ --------+------ ------------- ---- ---•--- ---------�----- ------------- -----� I I i , • Dishwasher � Sump Fump � ' ---------*------ ------------- ---- ------- ---------- ----= -------------1-----�-------- . Sillcocks � ( Misc. (List) . � Floor Drains ---�---- --------- ------ ------------ *************************************************************************** 1. Fixture Fee The minimum permit fee is $30.00 $ Compute number of fixtures x $5/fixture � x $3/fixture reset I � - 2. State Surcharge $ .50 3. Postage & Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (add lines 1-3 above) $ ; : *************************************************************************** The undersigned hereby applies to the City of orono for issuance of a Plumbing Permit, � agrees to do all work in strict accordance with the ordinances of the City and the � requlations of the State of Minnesota, and certifies that all statements made on this ; : application are complete, true and correct. � . - � . .... ~ Date: �-- / � � !� ?� ° Signature of Agplicant: � :,b.