HomeMy WebLinkAbout2003-P06586 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750,Kelley Parkway - PO Box 66 P06586
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: �i2ai2oo3
SITE ADDRESS: 1380 Briar St
Wayzata,MN 55391
P I D: 10-117-23-31-0053
DESCRIPTION:
Proposed Use: xesidential
Pernut Class: Plumbing
Pernut Sub-type(s): Water Heater
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 800.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Gavic&Sons Plumbing&Water Specialti� OWNER: Jessica 7ohnson
e Comrnents) 1380 Briar St
12725 Nightingale St. Wayzata,MN 55391
Coon Rapids,MN 55448
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Uay-29-2003 OZ:i6pm From-CITY OF ORONO +9521494616 T-546 P.002/003 F-122
.
GI'I'Y 4F OR�NC) AF'PLICA"Y'ION FQR PT,YJMBING PERMYT
Box 66 (2750 I�e11e�y Parkwa�)
Cryst�i Bay, NIN 553Z3
G�E R.AL IN�Q_�'1A"I'.�dN
1^ You may apply for plumbing permiu by mail or in person ai the Ciry offices.
2, permix cards�vill be sent by retum mail after a review is completed. PERMITS Al2.�NOT VALID iJNTIl.
YOU RECLIVE A p��1TT- WO1tK MU�T NOT BEG N UNTIL TH�P�RMIT CATtD IS PO�TED ON
TH�JQB SI7'�.
3. Plumbing per�nits may be issued ONLY to licensed plumbing contrac[ors and to property ownCrs residinig
in th� dwellin,g.
4, When any new caqs�ruction or remodeling is involved, a separa[e building permit must be obrained.
5. All work mus�be done in accordanct wi�h the State Gode requiremen�s.
6. All wark mu:�t be inspecced and air tested before i[ is eovered. Call (9S2) 249-4fi00. 24hour notiee
required.
nstruc ' ns Camplete a11 items on Lhis application. Compute the permit fee. Sign and d�te the
certification. INC'�Ml'LETE APPLYCATItaNS VVILL NOT BE PROCESSED. If you have
questions, call {�52) 249-460Q.
1'lease check one: Nevs� Addicion Repair � Replace
�17esidential Commercial.
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p�vner'sName: �mb TelephoneNumber•
Mailing Address: I�S�h f�ri C1r �i�y: n�Yl--�- zip: �� I —
Contrackor's Narn�e: b Telephone Number:l�SS-(��CQ$
I1�Yailing Address: 12� Cit�':���Zip:��l �
PLUM�3ING FIXTTI�2E SC�DTTi.F
FIXTYJRE B:�MT 1ST 2ND OTH�:�2 FIXT�(JRE B5M'C 1ST 2ND OTHER
T'YPE I'Y.. FL ^- -- -TYPE T �L FL
�Vaier Closet Floor Drains
L,avato S�Wzr E'ector
Bathtub Laundr Tra
Shower Washer
Kitchen Sink Water I�eater �
Dis osal WAter Softener
DishwaSher Wet Bu
Sillcocks Misc (list) �
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