HomeMy WebLinkAbout1991-003801 - plumbing PERMIT
qj�TY OF ORONO PERMIT TYPE:
1 31 Brown Rd. South - P.O. Box 66 Permit Number:
Cryltal Bay, Minnesota 55323 Date Issued: 07/023/91
(61 473-7357
SITE ADDRESS: 2145 WATERTOWN RD
TLN
P. I . N. ; 03-117-23-21-0003
DESCRIPTION:
4 FIXTUREL '3
Plumbing Permit Tyrpe FTXTURES
Plumbi-n-:4 Wcw�k- -1-'Vp1F- IA E:. -4CIi V'ATE!'REMCIDEL
I WATER CLOSET 1 BATHTUB
I SHOWER
REMARKS: CITY OF MW
FIANCE DFFICE #
1313304000
FEE SUMMARY: iia« 0 30.00 N
ICHECK TL 30-1
Base Fee $30. 00 ,IUCEIPT-rr c YOU
Surcharge --------__I-5Q #,,:,17350 Cool R01 T12:53
Total Fee $30 .50 MOM
CONTRACTOR: Applicant --
0 mij WEL JIM
2146 WATERTOWN RD
ORONO MN 55356
473-3471
i-f-, T
i Ni-IRAI H31!-
HL r- YvE ENT-3
JA— T--- Tif-VE RE'
`k-ir'NED HEREBY RE�1--J-'1----%D--r1 :---
r. :,nit, T
I !-I L j.114 1
r r.
r-ED-I r E D t-dn. A'13R�EE':-: TO DC- kJOR"" -R ALL C11-1 -Y"
i C••? -i RE" JIRENENT�-*
U -_:' 131C RE
JP14 j kj V-,19 11`€A`i'-141 CIE'— t`11`4 10 f-1 1F P-11INNE'3-0'TA SILD.LN�, rij 3E
SUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
- Crystal Bay, MN 55323
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.
S. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
JOB SITE ADDRESS: 2 0,)
Occupancy Type: X Residential Commercial ;
OWNER'S NAME: ��l^c C -� __ Phone No. :
Mailing address: fS� („-.Jer City:
CONTRACTOR'S NAME: Bus. No. :
Mailing Address: City: Zip:
Master Plumber's State License No. : City Cert. No. :
PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
Water-Closet-I--- I -- ----Closet ---
---- ----- Sewer-Ejector ---- --_----- ---------r-----
Lavatory J Laundry Tray
- I ----- -------- ------------- ------- -
BathtubWasher
-- --- ------ --- --- ----------rLI -
----
------------- -
Shower 7 Water Heater
--- -- ----- -
---- -------- --------- -----
Kitchen Sink i I Water Softner
------------------ --- ---- ------ ---------—---- --------- -----
Disposal I I Wet Bar
1-----I------ ------------------------------------------- ---------Sum -----
Dishwasher ------ P Pum P
Sillcocks Misc. (List)
Floor Drains
------ ----- --- ------ ------------- ---- -------- ----------------
1.
--------- -----1. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $5/fixture
x $3/fixture reset ;
2. State Surcharge $ .50
3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
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 j
regulations of the State of Minnesota, and certifies that all statements made on tis
h
application are complete, true and correct.
Signature of Applicant: txf., Date: �U3/��