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...i_- ..1. i'k_*" ri.uVA."INU ri;sfri'11T <br /> Box 66 (1335 Brown Road South ) <br /> Crystal Bay, MN 55323 <br /> General Information <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Mailed in application are subject to the postage and handling fees shown below. Permit Cards will <br /> be sent by return mail the same day the application is received. <br /> 3. Permits are not valid until you receive a permit card. <br /> 4. Work must not begin until the permit card is posted on the job site. <br /> 5. Plumbing permits may be issued to state-licensed plumbers or to homeowner/occnts who intend to <br /> actually perform their own work in their home. <br /> 6. When any new construction or remodeling is involved, a separate building perm fntt.7. All work must be done in accordance with the State Building Code Require !itVl r <br /> 8. All work must be inspected before it is covered. Call for inspections 2 ; hours in advance t. <br /> (473-7357). e nn <br /> Instructions. Complete all items on this application. Compute the permit fee)(. Sign and dat A <br /> certification. Incomplete applications will not be processed. If you have fly questions:, ca <br /> 473-7357. <br /> WALK-IN PERMITS--Apply at City Offices, 1335 Brown Road So. (County Rd 146) <br /> MAIL-IN PERMITS--Enclose Fee--Mail to: P.O. Box 66, Crystal Bay, MN 55323 <br /> ************************************************************************** <br /> JOB SITE ADDRESS 3505 Wayzata Blvd. <br /> Occupancy Type : x Residential Commercial <br /> Work to be Performed by: x Licensed Contractor Owner/Occupant <br /> OWNER'S NAME Brian Fulmer Telephone No. 473-9026 <br /> Mailing Address 3505 Wayzata Blvd. <br /> PLUMBER'S COMPANY NAMEKlamm Mechanical Contractors, InBusiness No. 890-4868 <br /> Mailing Address 12409 County Road #11, Burnsville, Minn. 55337 <br /> en i_ng <br /> Master Plumber ' s State License No. 0599 City Cert. No. <br /> ************************************************************************** <br /> PLUMBING FIXTURE SCHEDULE <br /> (Show Number of Fixtures of Each Type on Each Floor ) <br /> FIXTURE TYPE BSMT. lst Floor 12nd Floor Other Floors FIXTURE TYPE BSMT. lst Floor 2nd Floor Other Floors <br /> Water Closet 1 2 Laundry Tra _ <br /> Lavatory _ _ Washer <br /> Bathtub 1 Water neater 1 <br /> Shower _ 1 Water Softner 1 <br /> Kitchen Sink _ _ 1 Misc. Fixtures: Bidet <br /> Disposal _ � (List) <br /> Dishwasher _ <br /> Wet Bar -- <br /> Sillcocks Exit. _ <br /> Floor Drains Exit. <br /> Sump Puma <br /> Sewer Eiector TOTAL NUMBER OF FIXTURES <br /> ************************************************************************** <br /> PERMIT FEE CALCULATION <br /> 1 . Fixture Fee. The minimum permit fee is $25 . 00 . <br /> Compute number of fixtures 17 x $4/fixture $ 68.00 <br /> 2 . State Surcharge $ . 50 <br /> 3 . Postage and Handling (Only for Mail-in applications ) $ 1. 50 <br /> 4 . TOTAL Permit Fee (Add lines 1-3 above ) $ 70.00 <br /> ************************************************************************** <br /> The undersigned hereby applies to the City of Orono for issuance of a PLUMBING PERMIT, agrees to do all <br /> work in strict accordance with the ordina of the City and the regulations of the Minnesota state <br /> Buildin Code, a certifies that all s ate nts made on this application are complete, true and <br /> c c / f <br /> May 27, 1986 <br /> ignature of Appill6a-ne Date <br /> Edward R. Klamm Sr. <br />