HomeMy WebLinkAbout1999-011943 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66Permit Number: Z�T N i:-
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Crystal Bay, Minnesota 55323 Date Issued: OT 1
(612) 249-4600 1 4'
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR:
OWNER:
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THE UNDER S18NED HEREBY R-EQVESTS PER HI-1 ,ION JOMAraTHE 'M�1 &1,
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ORONO ORDINANCES AND STATE, OF-MINNE SUA :iML61,NG cl- t R
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBINGY RERAW
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE 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 separate 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. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you.have .
questions, call 249-4600.
Please check one: New Addition Repair Replace
_,,< Residential Commercial
JOB SITE: too 05 Pb Zip: 55 35(,
Owner's Name: C. K(CK4kFESL. Telephone Number: . Y72-11107
Mailing Address: - - - City: Zip: - -
Contractor's Name: f�g_bLpm fume i M G Telephone Number: R 2_7_ o?,
Mailing Address: Zqd S C,,trLF i E jt &t City: Pl c.-s Zip: f55 qO A
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
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1. 1.25% of Contract Price* or Minimum F 5°00 ty
(contract price)
2 Stateurchar e. ** Add the State Build' Code Division z` -i £f h h r i
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Surcharge to each.permit. ; `
(contract puce)
or $.50, whichever is greater F ' r
3. Postage and Handling (Only mail-in applicatibns) "w y s l� S' SUe k
4. TOTAL PERMIT FEE (Add lines 13-
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x
* CONTRACT PRICE or JOB COST means the actufal or estimated dolla� o e
work including materials, labor,profit, and`other fixed cosh
customer for the work done. If any material, equipment,lalor,'74r ins a
tenant or any other party the reasonable market value of sucjh item miistb '
or contract price for permit fee purposes. In the event that`..th`"eFe"isa
the City may request the submission of a signed copy oftace
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** The STATE SURCHARGE is .0005 of the contract pace under `
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greater. For valuations over $1,000,000 call the Department of
The undersigned hereby applies to the City for issuance,o
work in strict::accordance with the ordinances of the City u;
Minnesota, and certifies that all statements made,oa thiappli Vis.
correct.
Applicant's Signature:
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