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HomeMy WebLinkAbout1996-007545 (Plumbing) �/ PERMIT i GITY OF ORONO PERMIT TYPE: �,�;— �' 2750 Kelley Parkway- P.O. Box 66 ���-��'�'-��'�{' Crystal Bay, Minnesota 55323 Permit Number: i�i i;����., (612)473-7357 Date Issued: � i ,�•���i���c, SITE ADDRESS: ��.�_.j ��:�e���-; °�i �_�� �'. ! . !'d. � ���—:. j.'—.....:—�:j.--Erie:=.a DESCRIPTION: � F;X!t 1F�c;:�a�l'�� �T p��:l ���e�rie��i i��a �`F��r��i�• T�+��� o=T t Tf��C'=� ����J691�i7��� ��i c1'P�. � ��'�' �.�l�����af-i E c��t�!°��_�p�r�� � t a��a�"'�—'���y�_�! REMARKS: � FEE SUMMARY: 's`f 1L�1i�B T�=t��.� �i�� ��C���F'' �6^e'�'.e : _�� .t.��� i�IS"i°� SB�4. _..._..._��._ _j.a.�a e a. e. i . ^ _ ��. `��9�y's�pt,b'+�t=� �} ��„! Tte1::�f �'�+s� `�.�e�� ;1!3 • _ _. -- -'—'�—�-----=-�1.�_ , ' =0.��e a.�_c�,.�i� , _Ci , C+y CONTRACTOR: — ���'�'� '�=��e'. — OWNER: �;i 1'=� Qrys e�al_�i�' F'L+.!t1E;It�i�� ��'_��'�?�' {='E��6�;°=��=���� ��°�,t�l��:: ��i f:�� t�Fet�S—�%����E��I �a�; �.:�t��. i`;F��e:►� ��! �;�;�i��F�:�_`�t�� �_';=��'��:. �1!`� �G�r�.� ii,=�i��•��i C°i�� ��:�'i� �:i�.�,��:� �'�i�:—�.�'r� �d�`—'��'�_��, p (c:" �i��'" a- �9 )a'�R'� Ze3�t �_�- P��� si :^'i�r �' �r a:�e- �� E.�stl."* �.pYt_� $y�i;+� y...e � ir:� iC*,'t�` � ,i l- :!�`'' y� '(E.,t= ���W �°i�•ls ., ! o -i�_ o-t �<9_ + i f�� �. ...i 5..,.!e�'��..�?�'»..�.r S�7.9 . � � � ._ � 4 d l�� , a. � S S � ,�� •.Ir 9� S� . !_..�-�I �_. , P.a x e ' ar ,..,_, � ._. . , . --� _'a i,.^ !`:2�'r�re. >'"::8, r - -:C �•Er'-`�{:.l.� .? R_,_? ��4'.,rE €``1�i�.C. �n_. 3�_.3 _33� %'�,_.s_, �.4d4roei�''�. +; _. t�.�°_•� , ? .. `�._�i-2:�:.�� E��. ��'B ���._�.. ar� � r ..�r a s.'a � •Y � 4`_ t`' '� ci?_ 'S x 4: +" ;r t's 3�-. �" � ,�6��;;�}'t�,�i �;39,.��'t'i�°s��`,'w.:��'.:� '�2���,P e*��:�€e_ _ �'���°-���:m_`��_�!L� '�a�_��6���'�i.3 E.e:�..,?.:°C:. r .... ,.?i;n..:�`e 1`'��•_ . L. ��� �� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �1 • .'� -��-���' . � .�c�g6 \1 �. CITY OF ORONO APPLICATI��FOR PLU1rIBIlqTG PEI2NIIT Bo� 6+b (2750 Kelley Par3{way) Crystal Bay, N�t 5�323 � GEyER.aL L•��t�iL1�IATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards wiIl be sent by return mail aher a review is completed. PERMITS ARE NOT VALID Uiv'TIL YOU RECENE A PERMIT. NORK MUST NOT BEGIN UNTIL THE PER.titIT CARD IS POSTED ON THE JOB SITE. 3. Plumbi�..: ;ermits may be issued ONLY to licensed plumbing contractors and to properry owners residing in the dw;.iliIIg. 4. �Nhen any new construction or remodeiing is involved, a separate building permit must be obtained. �. �31 work must be done in accordance witTi the State Code requiremenu. 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required. Instructioms Comc'?te all items on tliis applicarion. Comp�te the permit fee. Sian and date the certification. i���01�iPLETE APPLICATIONS WILL NOT BE PROCESSED. if you have questions, call �73-73�7. �izase check o�a: New Addition Repair Replace � ltesidential Commercial -- - - �O� ��'E; t a�r r+2c,�2 s� ZiP: Ssa�a ��ner's Name: ���,r� �E r�z s o,J T�lephone NuffiL er: 4�S -a�o c� 1�I�g.'�ddr�ss: 5�,,,y City: �Ro�o Zip: Sf i z3 Contra+ctr�r's�,'�e: -r m's !�u���,-� P iu m 8,�� :�,� Te1�p�aoneNuYnber: ,..._ A,��,�3�7 �Iailing�iddress: �o �a x a�a City: o ss�„ Zip: Ssa�s Pi.�I�Il�dG �T�TUR'E SCHEI�UL� F��`TL'RE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL �d+t':�r Closet Sewer EjecioP Lavazory � Laundry Tray $�rua Washer Shower Water IIeater Kitc:iea Sink Water Softener ���( , Wet Bar Dishwasher Floor Drains S�Ico�c�s l�iisc (lisi) ` _ ,k,,,�' �+,° "Q`,'"`Q �� ���-�- � PERNIIT FEE CALCULATION 1. 1.25% of Contract Price* or 1Vlinimum Fee 35.00 - /S:�-(lD x 1.25 $ 35,av (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .00QS $ • �o (contract price) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ 3 b .v� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted work including materials, lahar, pmfit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor;or installation are furnishe�by the owner, t�nanc �r�ny other party the reasonable market value of such items must be added to the estimated cost or conuact price for permit fee purposes. In the event thai 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 STAT'E SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over$1,000,0� 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: �/��5�- Date• t��•`'�9�