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HomeMy WebLinkAbout1996-007948 - water heater '�� PERMIT ' CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �=�I i li•i�:T tL(.; Crystal Bay, Minnesota 55323 Permit Number: �- Date Issued: t��k�:�� �Y� (612) 473-7357 t=�:' i F�:':?�-, SITE ADDRESS: ,��,..�.�� ��:i�;�'��� Li=jl'::� ;�i�i r_:j-�{ �'. E . ,� . . �_�t—�. fi—��:':�:—i j—c�)t_3i;: DESCRIPTION: � t'�X I k_jtit �'I��rr�i.�in=_� �'��•rrti t. TV��� �IX r;���°;; ��I�.�Trft�a s-�r� �,,,�}:: -r y��� �E.���.�r�:� ��r�=;�I t�� 1 i.�t�'T�!�. H���TER REMARKS: FEE SUMMARY: tiF��LR 1HT 1 i=:�P� ��.c�yt�, ��•��w �r-=� �::5 . t_�t� i•i�=t I�.. I t�� —�-----_ �..�.3.'��} °v�l.it'�;iK#'°�� -----__ �'..,.�i"s ���,t..i� ��,w `�:��1 . s='rii ��t.��,t.t t{.�j !:�Wi.s, , !;t;i CONTRACTOR: — �.:�F,c=i i r�t�3t. — OWNER: I��ti�h�==����t� �'��_!t1E,i tt,�, t�:��i i=.�74��__:;: Yt��Llt��:� F�;+�G�.(�I��:��:: s:"�!�� t�f��-t� E�i �} i=���� _ �1�i� Fl..3F1�•':� �....w�f��.�'. �..y� t�It�i����t��=`��LI'_ t=lili .5��.�;;; �i{�3�;���+ C•�l�l .5�;;r�.,c�. {;F;�.��i =Y:—:�.i 7:�,::: �.7;�'—;�:�:'� 1�;-�� t_�t.�[:��E;`=;I�.:;�•���� F-I��;EE�� �°�'i,�t;�=°_;�'�� �`�:_s;`;°i�.°��°=�i.����� T�:i t•1t=���::� Tz-i� F:E�! i s•1�=`h���V?��!�._r.�;°-; �;�`�;�,:i� i,r-,� L�j1�!,) �it_i{-5�,�_:=� �E_! �)I�I t=�f,_I �I_€�t%':. ii`u =�!�i�i; � i.:�.=���"'!_j�ri�'�i;�. lc��:�—i �':t..i S.�-...`: 1__;�- �-�a;�;,;;,�a i �ii;��I tvr��t��:�=� ;at��u =��i t���C� =w�F= t�I t�iisl►=°���;�i r� ��i.�I LG I i�1�� i�:f���,� ;;�c,�t;��;::�•ii_CYa�I''_ L � � , C—�Y�u� '� APPLICANT%PERMITEE SIGNATURE ISSUED BY SIGNATURE . ' CITY OF OROIIO APPLICATION FOR PLIIMBING PERMIT G�.� ',::;;';. �� Box 66 (1335 So Brown Rd) � ���� .� � � ' �'�'" ` � Crystal Bay, MN 55323 : *******�x*********************,r**********************�*********** ********* General Instrnct3ons - 1. You may apply for pinmbing permits by mail or in person at 3`.�1P_ City offices. 2. Mailed in applications are subject to the postaqe and handlinq fees ahos�n below. • Permit cards will be sent by return mail the same day the a;�+lication ia received. 3. Permits are�aot valid until yon receive a pernit card. 4. Work mnat not beqin unless the permit card is available on t'�� job aite. „ 5. Plumbing permits may be issued to licensed contractors only. , 6. When any new constrnction or remodeling ia involved, a seF4sat� buildinq permit mu �,�; � � ��,,�, be obtained. ' � �Q� ' 7. All wozk must be done in accordance with State Code require�^^.nts. F,;;�.; 8. AlI work must be inspected before it is covered. Call 473-^�57. ' `.'" 24 hour notice reqnired. ***************************,t*rt,t**rtrt*,t****,t**********�-*********tt**,t*****tt*�t* Jos sz�s AnnxEss: �//5.-r� ��XC-�sT L�t�K� (L.I�� Occupancy Type: �_Residential __Commerci��l OWNER'S AAMS: � �c��_.l�(,-� _ Phone No. : �7L' Z Z.]S Mailing Address: 5�/�� ������5� K r7� City: UI�e�C) CONTRACTOR'S NAI�4:: C +�I � c"1 Bu 5, No. : � 7"�j�� - Mailing Address: . 2 p� G,ra-R-�i��-� AdG S� City: V►'��c�5 �ip: � .. Master Plumber's State License No. : �,�r��=,C�i�� City Cert. No. : i°✓1- D`7f��? _ ***irlt**!t!t**,t***!t*it*,t�k1FyF1t#,t�k*,tiF***1k1t1t�t�tf��tic*,t,t,t*�k�t�r+t�k,t�t r*tk*yt***1t*�tiri�i��t�t*,t*,ttr�t PLIIMBING FIXTURS SCHEDIIL$ ' -' ,;.� (Show number of fixtures of each type on e�ch floor) �;,;,,,y gZXTIIRE TYPE BSMT 1ST FLOOR 2ND FI,OOR OTHER FIXTURE TYPE BSM"' 1ST FLOOR 2ND �:OOR OTHER �w�M����� �� ���..i����� '��T����� ������ ������������� �� �����M�� ���������T��M� ' water Closet Sewer Ejector ; ,':':'� ------ ----'---•----- --------- ----- .. . --- -------- ----•---- ------ ------- .. ------------- - � Lavatory Lnundry Tray , -�- ------------- --- ------- -- --- ------ ------------- ----?---•----- --------- ----- Bathtub � Washer � ' ------------- ---- ------- -- --- ------ ------------- ----�--------- --------- --- . Shower Water Heater , ------------ --- -•----- ------- ------ ------------- �'---�---- ------- �.� . . - - - ..�... Water Softner - • . � -` Ritchen Sfnk --------- N�_ ' Disposal---- ----�------ —------- ----- Wet_Bar------ ----� ---^--- ------- ---- ' - >:�. � ��•.: _ - - , ,.. .:.,. Dishwasher Sump Pump � ` '- ------------- ----- --�----- --------- Sillcocks Misc. (List) ; • Floor Drafna � _ ' --•�--- - ��i�--2' � ************,r*rt****t*it**�*****!t***,r************ltit�t***�*lr��**�***ir****,�tialt*it** - • ' 1. Fiatnre Fee The minimum permit fee is $30.00 $ . Compute number cf fixtures - x $5/fixture _ _ _ -_ X $3/fixture rese} ,_ ,._ �;. .::�__ . - . : .__ . . ,_ _ - : - _ . .50 �2. State Surcharge .. -- . -:- $ -- . �.: . - -- - -- . :: _. _ __. _ - -- -�._ _ - -- _ ._. _ .— -��-" 3. � Postage � Handling (Only mail in applications) S � ' � `` x _ . _. .: _ - --- - -- -- - 1 5 -_ � - ;_ _ -- _: , ,-,, -- __ _ _ �" �. ---- . _�___.- -._:__..... _ � _ 4 -TOTAL PERMIT FEE (add lines 1-3 above? :_--�- S _ '� � ` ` `` . . . =..�`�*#1ri�***�t**1kltlklF****1k**�!***ir**it**1F1t1klF***�t1t***�tlt**1!lttR*s+ #tkvt�t�t�k�k�t�t�tlklkitaF+kie�*�t*1r1r_�--��-- . ., .. � .._. ... ..'_- _. ....�: ,�-,--'-'. ._• . � � . .-.._-- . . . ._ . . .. __. _ ._ .� -�- . . .._:,..=_� -..•- "'�� -.� -�� -...._. _r,. �-�'- ' � -The undersiqned hereby applies to the City of Orono for iase� nce of a Plumbing_^ermit,-`� ' agreea to do all work in strict accozdnnce with the ordinrnces of the City�rsnd the Y.. . segulationa of the State of Minnesota, and certifies that al� atatements made oa thia _-. _ _ _.., _,. -' application are complete, true and correct. - --- - - - . _ .. ..... - - - } � ------- _._ _ - - - � _.�_ _ _._. Signature of Applicant: - _ — Date: �- � ��' - - . .�.�. ' . _—.��.. . �. . . . � . .. .' � . ... '' . . ._ . . . ._. • ' K��'..:�.�.� �•n.