HomeMy WebLinkAbout1992-004764 - plumbing PERMIT
CITY OF ORONO `. PERMIT TYPE: -- JJ
1335 Brown Rd. South • P.O. Box 66 Permit Number: PLUMBING
t�t�r47 I�.q.t 1
Crystal Bay, Minnesota 55323 Date Issued: 10/30/9-91
(612) 473-7357
SITE ADDRESS:
315 TONk'AWA RD
LSV
P. I .N. ., 06-117-23-14-0021
021
DESCRIPTION:
3 FIXTURES
Plumbing Permit Type FIXTURES
P1urfibing Work, Type RESIDENCE
1 WATER CLOSET 1 LAVATORY,,, 1 BATHTUB
I
REMARKS:
CI FEE SUMMARY: CITY OF C
F h�ACE ff7CF
131 BONN Yi
Ease Fee $30.00 01 8El: JO.00 �
Surcharge -Iy5ty 2'
Total Fee - $30.50 CHECK01 GEN G L ,?t1.0
RECEIPT-T h' t`Jtl
#257s70 0001 1 T1 v',V;
CONTRACTOR: - Applicant. - OWNER:
C:I TYV I EW PLBG °e HTG 24738793 BENNETT FRANK
1880 1/2 W WAYZATA BLVD 315 TONKAWA RD
LONG LAKE MN 55356 ORONO MN 55356
(61 2) 473-8793
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � �J
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd) r
Crystal Bay, MN 55323
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General Instructions
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 you receive a permit card.
4. Work must not begin unless the permit card is available on the 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 requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
JOB SITE ADDRESS: i
Occupancy Type: —7&'_Resi'dential Commercial
OWNER'S NAME: cZ/yi Phone No. :
Mailing Address: City: pyA_7n
CONTRACTOR'S NAME: A - Bus. No. : ?^
Mailing Address: City: Zip: - b
Master Plumber's S ate Itidense City Cert. No. :
PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT IST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT IST FLOOR 2ND FLOOR OTHER
-------------- ---------4-.... ---.r............. ................... ......... ................
WaterCloset
---- ---_---- --- f --- ----- SewerEjector
-- --'---- ------- ----
Lavatory Laundry Tray
------------- ---- - //------------- ---------------------------- ----------------
Bathtub------ ----- ------- ---f --- ------ Washer------- ---- --------- --------- -----
Shower Water Heater
Kitchen Sink Water Softner
Disposal Wet Bar
Dishwasher Sump Pump
Sillcocks Misc. (List)
----------------------
Floor Drains
1. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $8/fixture
x $5/fixture reset
2. State Surcharge $ .50
LA 3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
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The undersigned hereby applies to the City of Orono 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.
Signature of Applicant: 4�?t7_4c.�'c' Date: 3� '