Loading...
HomeMy WebLinkAbout1992-004221 - water softner PERMIT CITY OF ORONO PERMIT TYPE: I \1S 1335 Brown Rd. South • P.O. Box 66 e Permit Number: 004221 Crystal Bay, Minnesota 55323 Date Issued: 03/23/9? (612) 473-7357 SITE ADDRESS: SOS ORCHARD_:HARD t-K RD CH P . t . N. . 31-118_23--14-0003 DESCRIPTION: 1 FIXTUFE Plumbing Permit. Type F IXTt;r`E:= Plurimbil}y Work Type REPLACE EX'I: ;T Iii[; 1 WATER SOFTNFR CITY! L'!1DlT8 1 1lYiTlTGL Vt ! 1L•L REMARKS: . �L t' L .;?;: .I.i2-220C VC) i7? i t_?! �. VS JL1T .5i7 FEE SUMMARY: 01 1,EN 1.5 Li•!.ECt Ti. Li t1L trLif I 1�'f •7!T11 t•u E:ase Fee . 00 MAIL IN iii%.1 1-09:-44 z!y� ! =;Z•:=t1 i-e '= iii:} •• .. ,J 7 — _�t11'Ct�icl� ' _� -- - - f _uft. t-Ei _ . CONTRACTOR: — ,ppl i, }, . — OWNER: CULL I€3A% 29:3:37'7.'00 DAN ULL._I G}-ir' WAY SOS ORCHARD PK ru r I NNET_NrrMN 55:345 ORONO MN 5535676-200E, F ,au"" a r a `` ' �- \`Wy !b " w3\« < " aY t ,- 1141:-t a faQ x # w F�^� ? r >l , r, vW�.� 3 d 7 y \c_4:4 t J APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE--4-7'��`� 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 ha ,ees-afiownelow. Permit cards will be sent by return mail the same day the ap catioff&is receiveld. 3. Permits are not valid until you receive a permit card. JI 4. Work must not begin unless the permit card is available on t ` b s te. 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 requiremenUA R 2 3 1992 8. All work must be inspected before it is covered. Call 473-7357. 24 hour notice required. *************************************************************************** JOB SITE ADDRESS: 505 Orchard P f2, P?d Occupancy Type: V Residential Commercial OWNER'S NAME: Qgjtr) kekis h Phone No. : 1--(p - ao0S- Mailing Address: 5 Orchard PI Pd City: —157pq Lp .o_, CONTRACTOR'S NAME: Nt3a.l Bus. No. : q 33- -1a.60 Mailing Address: (003) Ce' '"""ut City: r4 fl a Zip: <3q Master Plumber's State Licens No. : a 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 a T .. Water Closet Sewer Ejector Lavatory Laundry Tray Bathtub Washer Shower Water Heater Kitchen Sink + Water Softner I Disposal I `--` ---- Wet Bar —_ Dishwasher Sump Pump Sillcocks Misc. (List) Floor Drains *************************************************************************** 1. Fixture Fee The minimum permit fee is $30.00 $ 30 , 617 Compute number of fixtures x $5/fixture x $3/fixture reset 2. State Surcharge $ .50 NA 3. Postage & Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (add lines 1-3 above) $ 3 a`Q *************************************************************************** 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: . / Date: 3'-17-2 CULL .AN WATER CONDITJONING