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HomeMy WebLinkAbout1992 - 004876 - plumbing PERMIT CITY 'Jr ORONO r PERMIT TYPE: PLUMPING 1335 Brown Rd. South • P.O. Box 66 Permit Number: O04 /f; Crystal Bay, Minnesota 55323 Date Issued. (612) 473-7357 SITE ADDRESS: 950 WILLOW DR N LSV P . I . N . : 27-ilS-23-33-0011 DESCRIPTION: 10 FIXTURES Plumbing Permit. Type FIXTURES Plumbing Work Type RESIDENCE 2 WATER CLOSET 2 LAVATORY 1 BATHTUB 1 LAUNDRY TRAY 1 WASHER 1 WATER HEATER 1 LAVATORY/RI 1 KITCHEN SINK/RI REMARKS: FEE SUMMARY: Base Fee $74 . 00 MAIL IN ti Surcharge Total Fee $76 . 00 Subtotal $74 . 50 CI TY 11117 ORONO irTAirt." nrrrrr J./VIM-4- 1,313300000 4 C).1. iEN 74.00 1222200000 r ki .50 V. 1351700000 01 6EN 1.50 CHECK TL 76.00 CONTRACTOR: — Appi. ic.ant. — flWNFRi.xpr Vrii BARNES PLUMBING 252;1172 RAY / 3923 WASHINC4TON AVE N 950 ,40.,z151.o ryyp Ro WILI OW DR"'Ft'-L "" MINNEAPOLIS MN 55412 ORONO MN sS3Cf=, 9/92 6 1 2) S 2 -1 1 2 (612)8F..1-1.230 I - _ THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT!, SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. L_ (APPLICANT/PERMITEE SIGNATURE f ISSUED BY SIGNATURE 12/15/92 12:35 THE C:I T1S OF CI ONO 612-473-7357 0102 LT 1 UkURuivu Av,e1,11:Ik.lUt1 1 Ult k'LUfi3.i1Nt, t'z.RMI ox 66 (1335 So grown Rd) Y', , rystal Bay, MN 55323 Y's 1" Iteetea*****h********see*A***k********************************************* neral instructions You may apply for plumbing permits by mail or in person at the City offices. Mailed in applications are subject to the postage and handling fees shown below. Permit cards will be sent by return mail the eame day the application is received. ^', Permits are not valid until you receive a permit card. k;.."` Work must not begin unless the permit card is available on the job site. Plumbing permits may be issued to licensed contractors only. When any new construction or remodeling is involved, a separate building permit must be obtained. 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. f k********************************* *************************************** S . K OB SITE ADDRESS' 61 0r ± . ; ., :::, zoupancy Type: 6. Resident ate— Commercial— WNER'S NAME: ',y 1),.. ek-krr Phone No. : - 330 3 * c ailing Address: .5 � 06- � City: L..cu,,y Lc64q- ((-101" �k�i� �. ciS3Sle ONTRACTOR'S NAME: +� i! I) IIc� Bus. No. : J:t' - t[-1o1" ' `r ailing Address: 11,13 l [l a a , �. City: L$ Zip:55412 , ); aster Plumber's State License N. . : ' 2.. City Cert. No. : k************************************************************************* '^'ys PLUMBING FIXTURE SCHEDULE (Show number of fixtures of each type on each floor) XTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE 5SMT 1ST FLOOR 2ND FLOOR OTHER 1 .4 T "7 } ' 1 star Closet ' sewer Ejector +vatory 40,1011110 Ii Z--- /w Laundry Tray I-_._. ithtub i Washer �(- --- -- . -- ---- .�W_ -____'-__ --- - lower Water Heater 1 Ltchen Sink 41-_—' - water Softner - LspoSel Wet Bar .t1 4 Lshwasher Sump Pump Lllcocks Misc. (List) loor Drains ' ************************************************************************** . Fixture Fee The minimum permit fee is $30.00 $ 7 .C © ? 5 • Compute number of fixtures fl x $0/fixture ;'f, ,2- x $5/fixture reset '; ▪ State Surcharge $ .50 k=' . Postage 6 Handling (only mail-in applications) $ 3 .50 _____„ TOTAL PERMIT FRE (add lines 1-3 above) $ /(1 oe *****************...*******************************W........************** :,' he undersigned hereby applies to the City of Urono for issuance of a Plumbing Permit, green to do all work in strict accordance with the ordinances of the City and the agulations of the State of Minnesota, and certifies that all statements made on this �i pplication are complete, true ;Ind correct. ((x 7 �C? v ignature of Applican / A I Date: 124S BIZ