HomeMy WebLinkAbout1997-008952 - water softner PERMIT
.,d�ITY OF ORONO PERMIT TYPE:
2750 Kelle Parkwa P.O. Box 66 L�=��"j���s��i�
y y- Permit Number: ===i.��:�'�'�'�:
Crys,,al Bay, Minnesota 55323 Date Issued: .. _..� _ - .�.���
i?L i i': i r'_i r
(612)473-7357
SITE ADDRESS:
;;==�>�._ �—°_'-,�� �'� `��
_. _ -�; ___ _ �-�: i� { �� s�.
���:
__ .. ,
�` . _ . : . : -__--— _ _ —... _ —.... � - � ;:,:.
DESCRIPTION:
_ ,T..;�:
=`�i�E�'tl�?Zi?'� �'}?}'C3s7 �. r��+r: �',R��t_�h`�_�
`;,i�ri��?i i-i=`, �;�r,f-•t:; '��yc=t:: ;�'i:=_;�(�l�:F���t
.L �+�;-;j�,�i' _;6�1}-�i��=s1
REMARKS:
FEE SUMMARY:
— ; �; , �:. .
. .,.,� �
��N:L_ . . . . W ..�t� . . _ _..
���!':s�.' C"�.�' �_�� . ..!S_° i'i;•i1L zk�i ___._�,.__.—_�.�..a.��.:.�
, �. � .
�, , �- ����
� , ,-- — i
'=;.t11'i:i'i%�t1''�� _ �_,.:�.e. ��„iT.�i !'�'c� '�•',� . `_�S-'
==.1f_E;.F_7..�; —.�.._._._..... —� t�.,,t
CONTRACTOR: T — — OWNER: _,
�" � � ' . _�:. ,.=♦:,• s,;_� ::`` � — �._:��i.��_=�:.
1-.t�'f:= �_... ._. . . tW. ,�! S:_if?'r� �jr> _ _ _ . _ =��i�l„}�iF:'._ l�-���r`r` �.t� `k
_ ;Er�;�j�(^i:.,i�:,,?�y ,���.1 C_ _�:i�� '._i�'t`l�i,��!_1 ,"L� �{-t._'_ _
,. ., _, , ..., ._. : ;F
: �.. , , , i S'S l".
I '., , _. ..• � . _. . _ .
-r�: .,__ . . , ;»� . ' � `'a�i�i ' ' 3 i�i i.�riit.�i _ ..
i i_ � ' '"1 ( ! { t � _ b"f` r 1 E ! F � .i?�� i _ _' '
� �. �� —
�
..�i' }` __...j . .}�?_; y. t � � I_ t J,_' . ._ ... �:. ,.. . . ti K �. . . .�!. t' i r.. � �Cf i��i—e _ � .�I'
� � i �.r 3
�•.. .^.: �s h •.ri � .T
Jf '
. t.�t " , � ..... . . . . .... .. .�. � .�.� . . ..... .. .
�� �
-zE ��.�1!� s?-�:�.���i#-ir�L•�,�' �i 1__ _ ¢ ;�s�: I`� ? s�_,.•,33_1 s��:" r4. ._�z�t:x t.�1t.;�'. ,i.� . __t ( � ... .
L ._. ._. _ _ I
J
� ` �
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
C1TY OF URONO APPLICATION FOR PL�i�iBIl�G PERMIT
Box 66 (27�0_Kelley Parkway) 5
Crystal say, MN s5323 _. -. - -. M A.� 1991
C1.�pF OR�NO
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED 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 accordatice with the State Code requirements.
b. All work must be inspected and air tested before it is covered: Call 493-7357. 24-hour notice required.
Instruction� Complete all items on this application. Compute the permit.fee. Sign and date
the certificatioii. INC0119�LET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: `�New Addition Repair Replace
✓Residential Commercial
JOB SI'I'E: �R'�-i ���V b��� ��1v� �C� Zip: " '_ -
Owner's Name: (�)�� �� � 1 h�h��5 Telephone Number: -,
Mailing Address: City: Zip:
Contractor'sName:�;ULLIGAN WATERSSOND�TIC�NIN'�IephoneNumber:
MailingA.ddress: E030 CULLIGAN WAY City: Zip:
MINNETONKA, MN 55345 •
PLU�����RE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Flc�r Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower 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)
-��s�?_ 3� X .oi2s $ ��-;.�—
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ . _ ��
(contract price)
or $.50, whichever is greater
3. Postag��e and HandlinQ (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 dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
tenaut or any ott�er part-�+ the reasouable market valu� of sucl� items must be added to die 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 of the contract price under $1,000,�0 or $.50 - whichever is
greater. For valuations over$1,OQ0,000 call the Department 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 Sig e: Date: —