HomeMy WebLinkAbout1997-009498 - plumbing �-� PERMIT
" CITY OF ORONO PERMIT TYPE: ..
2750 Kelley Parkway- P.O. Box 66 ;��i�
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — r`°: ° i �:.: � _
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PPLICANT/P MITEE SIGNATURE ISSUED BY:SIGNATURE
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PERMIT FEE CALCULATION 4` `
1. 1.25% of Contract Price* or Minianum Fee (�+"?,S.GU�
_____ x .0125 $
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(contract price)
2. State Surcharge. ** Add the State Building Co�i� Division
Surcharge to each permit. x .0005 $
(contract price) , •; '"
or $.50, whichever is greater ��`
3. Postag�e and Handling (Only mail-in applicatioi�s) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) .... $
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* CONTRACT PRICE or JOB COST means the actual or esti;r ated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed ccsts. It is the amount to be chazged to the
` cu�tomer for the wor:do:e. :f any mate:i�.l, equipmen�, 1�'�,,:, �r�nstallation are furnished by the owner,
tenant or any other party the reasonable mazket value of'su��'iter.ls must be added to the estimated cost
or contract price for pemut fee purposes. In the event ihat u,��;;is a dispute on the amount of the job cost,
the City may request the submission of a signed cop,y �:�:n. actual ��ontract.
** The STATE SURCHARGE is .0005 of the contract price .tnder $1,0OO,OC� or $.50 - whicheve: �s
greater. For valuations over $1,000,00(� call the Departmer„ of Inspectional Servi,.,,� fo.r the pric�.
The undersigned llereby applies to the City i�r issuance oz� Plumbing P�ar.°,ic, agr�es t� co ail �
work in strict accordance with the ordinances oP the City and the r�gulations of the State of
Minnesota, and certifies that all statements made on this anplication are complete, true and
conect.
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Applicant's Signature: Date: io /9'
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C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT
�ox b6 (2750 Kelley Parkway)
Crystal Say, MN 55323
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GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POST�D ON THE JOB SITE.
3. Plumbing 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. All work must be done in accordance with the State Code requirements.
; 6. All work must be inspected and aie tested before it is covered. Call 473-7357. 24-hour notice required.
Instructioii,; Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOnS�LET� A::'PLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
��-���C'��e� ;
Please che�k one: New Addi±ion Repair Replace
�_ Ree>i��r'�ti�i Cv-nmercial
JOB SI'TE: ��``�� N • C�-�.� iZu, ��• 1-.�r�.-�- �'� �� Zip:
Owner's Name: �,��3�. �'� �� {�y��L-� Telephone Number: _
� Mailing Address• .a-,�c� ._ City: Zip:
Contractor'sName: -u ti+t-�u��.tc ��r3 TelephoneNumber: ? L� z�z<<;�f�
Mailing A.ddress: ��.-�c���-I�� City: t��v��r NY>,�Le Zip: ��.�v�
C �Yj�uh �n�tC�1 S L �C y�l'�G; P"'�
P UMB:�1 FIXTURE SCHEDULE
FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER ,,, �.
TYPE FL FL TYPE FL FL �
Water Closet � Floor Drains
Lavatory � � Sewer Ejector
Bathtub I Laundry Tray
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Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw��sher Wet Baz
Sillcocks Misc (list)
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