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Home My WebLink About2018-00362 - water softner � � CITY OF ORONO * 2 0 1 8 - 0 0 3 6 2 * 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2018 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 575 SUSSEX CIR PIN : 04-117-23-32-0013 LEGAL DESC : FOX BEND : LOT 002 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: WATER SOFTENER VALUATION OF PLUMBING 200 ., APPLICANT � PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.10 CULLIGAN SOFT WATER SERVICE CO.., MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA,MN 55345- TOTAL 52.10 _._ ._. _. _ . _ Payment(s) (952)912-7379 CREDIT CARD 6828 52.10 . OWNER , STEVENSON,TIM&MARTHA �� " 575 SUSSEX CIR LONG LAKE,MN 55356- - --- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at acry time for due cause. G Z� � �� Applicant Permit ignature Date Issued By ' ature Date 03/27/2018 12:20 FAX 9529335049 CULLIGAN MNTKA �004 . 4 ��N City of Orono -FOR CITY USE ONLY , O P.o. Box 6s Dafe Recelved: ` � 2750 Kelley Parkway �� ;�� ,� Crystal Bay, MN 55323 Permit# ��`i �i� (952)249-4600—Main Approved B.y. �kFsn�7a (952)249-4616—Fax Amount$: C1TY OF ORONO — PLUMBING PERMIT (Ail Commercial Permits Must be Approved by the State Prior to City Approval) http:l/www.dli.mn.aov/CCLDIPDF/pe plurnbplanrevapp.pdf GENERAL:INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit w'rll be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MIiST NOT BEGIN UNTIL THE PERMIT CARD IS P4STED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate buifding permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952)249-4600. (24-48 hour notice requ�red) � ; TYPE OF PERMIT(Check AlI That Apply) ` �Residential ❑ Commercial (Approval Required} [Backflow Device; ❑AVB ❑PVB] �New ❑ Additional ❑ Repairs ❑ Repface ❑ In Accessory Structure? *You witl need prior approv_al and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job 5ite/Owner Information: < Site Address: S 7 Jr .5 �•5$�k C+( �.-� Owner:�m �� 'ev�+� 5 � ''� Mailing Address: City: Zip: Home Phone: Alternate Phane: 95� - 4g`l - $4y v Contractor Information: ! Contractor: Contact Person: .u� 'A�V WA�ER �Uf�DPTlO�l�f�0 Address: 6�� JLLACA� V�/AY State Bond #: . 6CE3,, 11�E6V 553��a City: �� "�� Zip: Expiration Date: Phone: Alternate Phone: ❑ lnsurance —Currenfi: Page 1 03/27/2018 12:21 FAX 9529335049 CULLIGAN MNTKA C�005 . • " ;"� PLUMBING FIXTURES BEI;NG.INSTALLED °;. ,' F - FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1s� 2ND OTHER TYPE Floor Floor IYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Neater Disposaf Water Softener � Dishwasher Wet Bar Sillcocks Miscellaneous .. PER1VlIT FFE CALCU'LA�TtO' ' _ �' � �� , ; R , ';:, � � � � �{ , � ,. .�. ,,,:�. ... .: . � , . �1 � �� 1. CONTRAC�PRiCE-*is 1.25%-of contract price with a (Minimum fee of$50.00) � � - a b0, � U x .0125 $ -S�• �� (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE & FfANDLtNG (anly on Mail-In Applications} $ 2.00 I� 4. TOTAL PERMET FEE (Add Lines 1-3 Above) $ �a� * CONTRACT PRICE or JOB COST means the actual or estimated dolfar amount charged for the permifted 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 installa4ions are furnished by the owher, tenant or any �ther party, the reasonable market value of such items musf be added to the estimated cosf or contract price for permit fee purposes. !n 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 actuai contract. ; � . - �� , � k , �,;y ' .1; r., PLl1MBING PERMfT:APRL'I��T1.ON ACR�EN[�NT� � ` , �, 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 cerfifies that all statements made on this application are complete, true and correct. Applicant's Signature: � Date: 3- a7 - �� Building OfficiaU fnspector; Date: Page 2 �