HomeMy WebLinkAbout1999-011179 - plumbing �.► PERMIT
•CITY OF ORONO PERMIT TYPE: .. .
2750 Kelley Parkway- P.O. Box 66 ` ` � ��
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Crystal Bay, Minnesota 55323 Permit Number: �_;� � �-�_:;
(612) 473-7357 Date Issued: ;V�,. i-:-�,�,�
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ..��
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CITY OF URONO APPLICATION FOR PLUMBING PERMIT
�SoY b6 (2750 Kelley Parkway) �
Crystal Tay, NIN 55323
�ENERAL INFORMATION
L You may apply for plumbing permits by mail or in person at ttie City offices.
2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTLD 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 sepazate 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 air tested before it is covered. Ca11473-7357. 24-hour notice required.
Instructioi�� Coa�plete all items on this application. Compute the permit fee. Sign and date
the certificatiaii. INC011�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New ✓ Addition Repair ✓Replace
� Residential Commercial
JOB SITE: ��.5 �p: .�S3��
Owner'sName: e ` Telephone umber:
Mailing Address: City: o Zip: S-S3
Contractar'sName: 7`� c .S TelephoneNumber: � 7'3 - .36�d
MailingA.ddress: D Cit3'� _ZiP� �'3S�
PLUMBING FII�TURE SCHEDULE
FIXTURB BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
Typg FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
B�:htub Laundry Tray
ti:�ower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw:sher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
` 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�'J���. eo x .0125 $
�€o�t��e� �e)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � � � � x .0005 $
� (contract price) .
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged 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 owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
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 af the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Depaztment 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, true and
correct
Applicant's Signature: �2t� Date:
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