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1992-004175 - plumbing
PERMIT ,� �CITY OF ORONO PERMIT TYPE: �:��};-;�;;.�,�� 1335 Brown Rd. South • P.O. Box 66 Permit Number: i_sR?�1 i i 4 Crystal Bay, Minnesota 55323 Date Issued: ���'�/�.{�I`�i� (612) 473-7357 SITE ADDRESS: :�i�:}_; �__�fc'��4�:W�ii�!� i�h i:H r. I . �d . , ��i�—i 1�:—:,�=�—i1—t7�i�.L� DESCRIPTION: —,r� r-r ::- :�ir._�., -.-ti t— : h i i C_= �'} •a, � -r�• l���i�;.•1�..�.4�.-1 v^�.�_'I�ifl�.��. .._ l� f i _�1.�.. C7 r � r r.ia...i..T ���.,P.. !��d l�4!4lC�1 i�E'„-i 'i�i�':'}:; i `r i:.�r' S"�!':..��J.�.%C_i`s!:G_ — !� ��1ATc�� r:�t�:_;�T i i�_y�.1;�;i�is='•r' � i�:iiT#-i i t?�: �' :=;Flt:ltvEF; .i ��::�:��:t:i�_�,# :�,;t�,���:: : C)I'_�F''���:r:�`i� � d�':,���,�;i=�'•_�'�r�1 " _ T t_!._`_.�_{:�;�.,:�� t r�i tl t'ri �'t't�i I�'.�; 1 L�►tii+IC��i'r` i F;s`'i`Y' �i �-�:s'��:.�i �-��=_tf"I'�_i; f G,��tTEFi ��:��►t=i tdEn 1 =�tli�ll�' i't_�i°1i=' .- -'''�_;. " �f:��--tj i': �F� •Y=.{ a.�,� b i� � 4�" k r : � �'�� � +;�� ���`� ir µu � 'p.� q dNu � ����� � � �� �� � t �_ �r' ����'? ,��� l�am M�;'' r � � �'� � �:r p� t� �� f� . . Apy�i' 2tV � _ s : � t � ,t �, ar pP >' �* ��n, h�m,��,��„ '� a Nh r �'�M �:� REMARKS: �yy�y v i�v �� ��{in"�iJ �'I��'�j�,�'Cf G��IGf # Yd�o'�MV1/VY FEE SUMMARY: ;;j �i;�,+ �u;;.�t 1 Lii-t V V�i!V 3f � vl� !`� aYY �-:_. _ fiJ,T� --�---._._.._ ,� $�y;Y �} ��t�•�"' ���.:Fi �,r_L�i„F, t lt a E'3F'!�L._ �!�I �'''T,��'j�!j }p_� 17 H ~'<'s—�.��r}�K =:i,it'=1'i�i'_ar: ------ --_����.� ��s��t.yl ��- . �: ��i i C7�1 f �� ==f..aG+�.�_+�•11 "_`t1 , ._tt! 'vi uL+ y �+ `�;:� �y ��T�jj� •t76:avV ���!'"�• 1 V J s� Ut fLt11 },,�r t S�f � V!lLLr�S• 11 1 lV I�LL�iLjl l/�f�'I7�!-`• ILl�+ 1ftiJTV�V �YtV�.I fi�71 1���t'7 Vi.rl i�rj�.: CONTRACTOR: __ W,�,�;,� i��,���. — OWNER: •��;-�_,:;'���,��°1 �:��:���:'_; i.:��Et��=�TR;!L:T i��!!� i'��#+�f°t�"=;i�;�( �'LE�t� _ ��-.,�s r� ���r�����_►�F.::a �r-�r���:�.� �;� ���cf_. :�:�,��;w�_f�_��.; �s� �i I i��Z��r���";r..���::� �it�� �,::,i� �:��i�i,ii� t1iJ ,�:�;��, •i .— �i -•ti �.�'�_.s_.1 `�1:_��:.•--�• , i r ;� ,.; ,., . ,. , , .. ..� � ._. _. . . ._. .__ . . . . . _..... . - - " `i`.C._ .iivi)�.. 1 __.ti'���..} i—t:;.',�.:r. T� i t::...'t.��_tr. . E •m� : €.���.i�._ _. _.i i�if•� i j. ,_�r� !'-�i r`:�._ k..• s ", -" " ,:' y �� ''•� € Z }. t i.�� —i4 �.l � . . �;�� .� .....,._ .4�t . a.{.. ; k.. ; t k� 3�.}s# . . .- � : { f f E f } }'S _ .. a_ s_ 'i ` _ ' :..: _,`. _ . . V. ... k . .. 3 ih S. :t_._ _.{�._... )_._f1 4 _. - .; r ; � r_- �b1i7_I.:Ei...� a_{3',�Ji,l.t ..��.� te: .l. : r, r-, i� i�i_.lv,� .r_ . �.. ?k.:� _�. .. !:�...... . . _._.._._ . � s � ,i�� ° ' �+( �& _ :. ._ ,_ _ . . � _. . F -t,�� 4 , � � �J 1C _ �`�r/ I VR!�[��/'t/ APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �-G�✓ � -� �� � �> , . , " CZTY OF ORC:IO APPLICATIO�I FOR PLUMBI�IG PEFtMIT .� Box 66 (1335 So Brown 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. Permit cards will be sent by return mail the same day the application is received. 3. Permits are not valid until pon receive a permi.t card. 4. Work must not begin unless the permit card is available on t�e job site. 5. Plumbing permits may be issued to licensed contractors only. 6. When any new construction or remodeling is involved, a separate building permit must be obtained. - . 7. All work must be done in accordance with State Code requireme /� 8. All work must be inspected before it is covered. Call 473-73��6 V ���� 24 honr notice reqnired. ********************,t******c*�r*************** ************,t**************** JOB SITE ADDRESS: C�^ c�l.t.0 �L?"� �L � - Occu�ancy Type: Residen 'al Commercial OWNER'S NAME: Phane No. : Mailing Address: r=}�'� CONTRACTOR'S NAME: v(`!� , �l,c i CQr Bus. No. : .� � Mailing Address: 5 o t� - '�:.-�c '� City: �IL�. Zip: � 3 j Master Plumber' s State License No. : �1�� City Cert. No. : .. *********************************************************************** *** : , PLUMBING FIXTIIRE SCHEDIILE � (Show number of fixtures of each tyFe on each floor) FZXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTAER -------------T----_---�-----;---T----- ---- ------------- -- ----_---- -------j----- W.ater Closet � � I �___ __ �__Y�______ Sewer Ejector� j ____ �������������1����I�� � �������������� ���� ���'���������������i� Lavator ! ( � Laundry Tray � y , � �.. � � 1 � --1---------� Bathtub------�----i--—----i -�--- ------ Washer------- ---- --------- -------- ---- - =-------1- -- ------------- - -r- � �--I Shower -__-__ {__--_' � � � Tvater fieater � = ------- �� --�-------------�------ ----------------ttt�---- ---.----- ---------;----- � � � -.. : ._.�, Ritchen Sink - I I Water Softnerl � I - . ----------------------�-----i--------1------ --------------'----I---�----- ---------� ----- Disposal ' � '� Wet Bar � i � -------------1-----=-------- ------- ------ ------------- ---- ---�---- ---------�----- Dishwasher �I ' � Sump Pump + I � ' � ------__-_ 1____-�_------_ __'—�____ ______ _____________ ____ ___—r-- ______ 7 � .� Sl'l�.COCICS __- � � � I � . ^ � � 1 . ' • - =�__�_ "41�C. (L28t) _ �' iC.t- l ------------ ----- --�--- -------- ------ ------------- -�. - �--- --���- =� , _ - �iS��p��� � f(7.�.c�� ,�'��%,r�a r f�_. . Floor Drains 1 ---- ---�---- --------- ------ ------------- ---- --��At� -��'-'L-- ----- *************************************************************************** 1. Fixture Fee The minimum Fermit ee is $30.O1�r_ $ �`�S, � - Compute number of fixtures � x�5,(fixture .� <�Z� x $3/fixture reset � - ��� - 2. State Surcharge $ ` '"� , . � . . 3. Postage & Handling (Only mail-in applications) $ �.50 ) : . � _ ___ 4. TOTAL PERMIT FEE (add lines 1-3 above) $ �� � f ���-} *************************************************************************** The undersigned hereby applies to the City of Orono for issuance of a Plumbinq 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. � � Iz � }: Signature of Applicant:�.0 ���Y-/�.. _ Date: � l��C��- !�, ti �. ,