HomeMy WebLinkAbout007748 - water softner PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 PLUMBING
Crystal Bay, Minnesota 55323 Permit Number:
Date Issued: 007748
(612) 473-7357 0:=:?t:)1/'=9E,
SITE ADDRESS:
575 OXFORD RD
CH
P. 1. , N . , 0S-117-23-41-0029
DESCRIPTION:
1 F I XTURES
Plumbing Permit. Type FIXTURES
Plumbing Work Type REPLACE EXI - IN
1 WATER SOFTNEF
REMARKS:
FEE SUMMARY:
VALUATION $188
Base Fee $35 .00 NAIL IN
Surcharge —4Q Total Fee $37 . 00
Subtotal $35 .50
CONTRACTOR: _ Applicant -
OWNER:
CULLIGAN29337200 STARK RICK
6030 CU L_I SAN WAY 575 OXFORD RD
M I NNE TONKA MN Ss:.4E ORONO E'EN SS3S6
(612) 33-7200 473-0129
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK: IN STRICT COMPLIANCE WITH ALL. CITY OF
L_ ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. I
APPLICANTPERMITEE SIGNATURE ✓ ISSUED BY:SIGNATURE ��
1
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
78 •a-1 x .0125 $ a•00
(contract price)
2. State Surcharge_ ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ .60
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ pv
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
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 installation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In 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 actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
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 certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: d • Date: 2- - L —`7 6