HomeMy WebLinkAbout1989-09-06 Application for Plumbing Permitr
L
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd) a p 3
Crystal Bay, MN 55323 a O
ffffffffffftflflRlfffffff lfffflffffflf rffffffffff!lfrfffffffff rffflfffleeff
osmaral Instractiaas
1. You say apply for plumbing permits by mail or in person at the City offices.
2. Nailed in applications are subject to the postage and handling lees shorn below.
Permit cards will be sent by return mail the same day the application is received.
3. Permits are mot valid until yoe receive s p& -wit card.
4. Mork must not begin unless the permit card is available on the job site.
5. Plumbing permits may be issued to licensed contractors only. .
6. When any now construction or remodeling is involved, a separate building permit must
be obtained.
7. All work must be done in accordance with state Cods requirements.
B. All work must be inspected before it is covered. Call 473-7357.
24 boar Motion regnired.
fff lffffff Rffffflfffffflffffff /ff U rff Nlfff! f*a1fllffff/ere rreereee.ee.e
JOS SITE AMRESS r i
Occupancy Type: esidential Cosmerc a
OMREE'S RAMS Lax Phone No.:
Mailing Addreses -_ City:
CONTRACTOR IS RJMDar Bus. No.s
Mailing Address: X21 City: 2 p:
Master Plumber's State License No.: City Cert. No.t
fffffffffefrffffflffflfrrlfrffffflfflffffff far -FT--a lit
PLUMEIIIG FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT IST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 18T FLOOR 21D FLOOR OTEBR
Mater Closet
Lavatory
Bathtub
ihowr
Kitchen Bink
Disposal
Dishwasher
Sillcocks
Floor Drains
-----------
rfffffffffffffffrrfrffffffffffffrffffflfffff!lfffflffffffrfffrlfffffffffffr
1. Fixture Fas The minimum permit fee is $30.00 $
Compute number of fixtures _ x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50
3. Postage a Handling (Only sail -in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
fffflrfffffflff rrffffffffrrerrlffffffffff rffrrfffff•lfffffflfff rAf lfffff ff
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.
�j"7
k 6 -In
Signature of Applicant:: i/ !_i w- �La ��� 9 Dater
•
J
J
J
Sewer Ejector
Laundry Tray
--^-
-
Washer
Mater seater
--
_��__
-----
Mater eoftner
(/
Met Bar
Sump Pump
----- - -
-------------
Mise. (Llai)
- ---
-
-------
-----------
rfffffffffffffffrrfrffffffffffffrffffflfffff!lfffflffffffrfffrlfffffffffffr
1. Fixture Fas The minimum permit fee is $30.00 $
Compute number of fixtures _ x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50
3. Postage a Handling (Only sail -in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
fffflrfffffflff rrffffffffrrerrlffffffffff rffrrfffff•lfffffflfff rAf lfffff ff
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.
�j"7
k 6 -In
Signature of Applicant:: i/ !_i w- �La ��� 9 Dater
•
J
J
J