HomeMy WebLinkAbout1997 - 009405 - water softner PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Permit Number
Crystal Bay, Minnesota 55323
Date Issued:
(612) 473-7357
SITE ADDRESS:
4S2S WEST BRW:ii
LSV
P T ; ..)7-117-2':3-22-0014
DESCRIPTION:
WATER SOFTNER
Plumbing Permit Type FIXTURES
Plumbing Work Type REPLACE EXISTING
i.vATER SOFTNER
REMARKS:
FEE SUMMARY:
base Fee $3S . 00 MAIL IN si So
Surcharge s cf) Toal Fee $37 . 00
Subtotal
CONTRACTOR: Applicnt - OWNER:
MINNESOTA WATER TF.E..--W'FNI 278S2202 RUCE S
I 2 tA.V0 NW
COON RAIDS MN SS44S-30S9
/ 2
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIFD AND AGREES TO DO ALL WORK IN STRICT : :ML : - NCE WITH ALI CITY OF
L_ ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
-474,zte-61 4e, &411/247 ( )
APPLICANT,PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO 6124730510 06/23/97 10:23 5 :02/03 NO:426
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
1, You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed, PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST I?OT$EQIN QNT11 TH.1_PERMIT CARD IS
POSTED 9N TILE JQA 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 473-7357. 24-hour notice required.
jnstructloni 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 473-7357,
Please check one: New Addition Repair Replace
�( Residential Commercial
JOB SITE: 25 W. 4Cf.DC.;J) Id. Zip: S5 3 b`�
Owner's Name: J-fr v , Telephone Number: 72--4 7
Mailing Address: u rajc/t 'tel City: /1./on0 Zip: S--co
Contractor'SN$me: ;L/,1 n irt/�trr Ti��afr ,LTelephoneNumber:7 5 -a a a—
Mailing A d dress:I 2- . 1V -(a RI vd City: (` v n Zip: SS's
!MBING FIXTURE SCHEDVL
FIXTURE* BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
•
Water Closet Floor Amino
4
Lavatory Sewer Ejector
Bathtub Laundry Tray r
Shower Washer __...
Kitchen Sink Water Heater
Disposal . Water Softener
Dlshwtisher Wet Bar
Sillcocks Mise (list)
Vr VKVrVu 6124730510 06/23/97 10:23 5] :03/03 N0:426
a �
Plum. T FEE_CALCULATIQN
1. 1.25% of Contract Price* or MinkWM j (.$J5,091
x .0125 $ 35 . 00
(contract price)
2. £tAtc S e, ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ U
(contract price)
or $.50, whichever is greater
3. PautgLud jimuing (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1.3 above) $ 3`7.
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fired costa. It is the amount to be charged to the
customer for the work done. Holy material. equipment, labor;or incraltntion aro 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 .0035 of the contract price under $1,000,000 or $.30 - whichever is
greater. For valuations over SI,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: �� , �. Date: `
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