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HomeMy WebLinkAbout1992-004880 - plumbing � . �, PERMIT �ITY OF ORONO PERMIT TYPE: 35 Brown Rd. South • P.O. Box 66 ��'�������� Cr st�l Ba , Minnesota 55323 Permit Number: �;;;�;_;;�� Y Y Date Issued: (61,�) 473-7357 f i'''`:�j`��' SITE ADDRESS: ?� �=,�'l1�E;�=� ���lY �;J h� C:H �' a hJ —f t;=,—�'=.—:�:�'�—i�ii1� DESCRIPTION: � FIXT�_1���_; ��.��1tf1��317� ��1'f(il�, ! +1�'-�+ �i�����.r�_, Fl?ar,�t;i�-t� t�=_=�-�:: 7�Y���= �+���E��V�TE!F��t�i=�C�EL 1 ��f-�TER �:4 i a'=:ET 1 L��;'r-'�T�+i�.Y 1 ��ATHT�!� 1 t�ET �:a�� � �_.l�C�Er=I t��L� REMARKS: ;�.tTi t�;� L��u�',�u �i�'��h�'��i,� v�i�4i 4;i'tZtlt�rlrL'i � - � irliJrlV1lVVV FEE SUMMARY: '' �"' `�'v �.�n:/ii31' �r iLti.1.�V� . . Vi VLIt� •�} 13J�f4! !Vir! �` ��_� Fe� ��.�� .��t� ti�IL I�� � ----------- � . � , f v ;=.6Er� �.`;; '_��ii�r��cli'�C �_�r�) �a��•clZ �r'�' i• �r• �- '�Ti �% ;r� ' —'---"----- --0' . - � t� �if S r..t e i.r�i i�. -r1..,{rv :_�t��i{,.e s�.�,y�, +�_ . Ci•iTLT_`r'Li,t'`�k� vfii i�iLLrLlf e e�mi3Fn +�� 7fiLVif�V� 4V�V1 111V�1 �1�•LL 'i'f'Z J�'.� 1r'.!ia..:/:.. CONTRACTOR: — OWNER: — ApF=li�:�tEt• °=;►it 7TH�T++W#V i='LE,�� �;�;�,r�,::t��7 °_#,���d'=;i��� �-::E I TN i�,r.:�;F� F'Eh:�hl HV� :�• '�:�'t i�:�;:r: �:�.}w' �;i) I�# r,:r}.;s,��t��=°�►�_I°= C�1l�a ���.;�:1 ii}�i I�'4�i i h1i+1 !��:�'��� -.i, `.� -iF;�r-,—:-;�7�} , . - - _ _ : ;�, . . ,�_ � t�"��'-r'��• . .�__.. . ,�- �E�r -tr; -•t ':1:: '��i1,L' r'" . " i ' � (`�3 � " -�:.. � :..fG -' ;� {�','_;� _ � _ . ._ _ _ �.t�i� ^��_� . .. •�' : . . r"..`.{-'iL.� i i�t'"�� _.`d`s=���� _. : �'�C� '••_f�`ui..tr'.:�•_��'"'ss�!� . :L_�!:�:'.�:: _ ' . _ . '• � . ._ t _ _ 'i 3 ',' t�;� t., f :- '��� , ; �.��._ _, ; .:. . .. _. - -- - - ,',C_��- R_._ - - -� i 1 i:z i� �; i-�''iy'T � ;•``t� E E T ' = f_ t_f; i "° 7 i t i r-� ,;_ •. _.�_..., ,:'.". ; _ ._ ._ , - - ...,f {� [�.. f � !����}7 i��,�..4�"�,__ . �_} u'�_{ f"'i�._ k'_.�r-. 1!` _' I : 3�_ x . ... ._ � . . - .�� ;__•_ �, �r,� :-y:•,:._ .-�� . ._ - - T - - - �, p 7 -(^-}� - ;�� ... ..y .. ;.,�.�_, x f.._i�..,.....` _'�. _.f= _ .• , i•i tsi"it'� 3 [ �,�",_,�ii�'tii�, _ , . '' '��i'�� € —R� , i...� ( � � - '* :'yi�i��-.'s : � �� _..t.!�.�1 3.r.i�_i 3':i•` �}# �L r � '!i".`_ ;'�t�_� .... .L�:.��J.`�. '"__.__, t:!�e. _. s F'i : �:. _:. �`'t Y.. . ._. _. . _. _._. _ ._, l L����d-� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �-� CITY OF ORONO APPLICATION FOR PI,UMBING PERMIT � Box 6 6 (13 3 5 So Brown Rd) _ -----�- Crystal Bay, MN 55323 r�-`'f r^�,��^ ********************************************************************* General Instractions �1 � \`"� "�� `� 1. You may apply for plumbinq permita by mail or in person at the City officea. 2. Mailed in applicationa are subject to the postage and handling fees ahown below. Permit cards will be sent by return mail the same day the application is received,r-- � 3. Peraits are not valid until pon receive a persit card. 4. Work must not beqin unless the permit card is available on the job s�,�t[e�', 2 2 ,�§.�92 5. Plumbing permita may be isaued to licensed contractors only. 6. When any new conatruction or remodeling is involved, a separate buildinq permit must be obtained. 7. All work muat be done in accordance with State Code requirementa. 8. All work must be inspected before it is covered. Call 473-7357. 24 honr notice reqnired. ******************************************n********************************* JOB SITB ADDRBSS: �7S j�u/�E2i Ca/�-L/ �1'� Occupancy Type: cl Resic�ential Commercial OWNER'S NAME: Phone No. : Mailing Address: City: CONTRACTOR'S NAME: � -1 ;� ' ,, �� v� Bu s. o. : �(o(o�,�n; 7 Mailing Address: t' -� �', City: i�d � Zipe�S /�,z� Master Plumber's State License No. : ��-� City Cert. No. : ****************************************** * ****************************** PLUMBING FIXTIIRB SCHEDUI,$ (Show number of fixtures of each type on each floor) FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER � ------------- ---- ----+----- ---T----- ------ ------------ ---- ---^�---- --------- ----- � Water Closet � Sewer Ejector LavatorY----- -�-- ------ --------- ------ Laundry_TraY- ---- ---•----- -------- ----- Bathtub -____ Washer ------------ -�- ----- - -- ----------- -- --^----- --------- ----- Shower Water Heater Ritchen Sink Water Softner Disposal---- --- ---- ----- ---- Wet_Bar----- -�- --•---- --------- ----- Dishwasher---l---- ---•-- ---- -- ---- Sump-P�p---- --- ---------- ----- - - - - - - - - - - ��:,,� Sillcocka--- --- --•-- ------- ---- Misc�_(List)- --�- ���� ---------- ----- Floor Drains ------------- --- ---�--- -------- ------ ----------- --- -------- ---------- ----- *************************************************************************** 1. Fixtnre Fee The minimum permit fee is $30.00 $ Compute number of fixtures x $8/fixture x $5/fixture reset 2. State Surcharge $ .50 3. Postage � Handlinq (Only mail-in applications) $ 1.50 4. TOTAL PBRMIT FSE (add lines 1-3 above) $ *************************************************************************** The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, aqreea to do all work in atrict accordance with the ordinancea of the City and the regulationa of the State of Minnesota, and certifies that all statements made on this application are complete, true and or ect. Signature of Applicant: Date: