HomeMy WebLinkAbout1991-003725 - fire code permit � �� ���
CITY OF ORONO PERMIT TYPE: �, i} . ;�'��
1335 Brown Rd. South • P.O. Box 66 � -� ;:;�;_;��
ermit Number: ... f�.�•_
Crystal Bay, Minnesota 55323 �ate Issued: ���i�:�1%'�1
(612) 473-7357
SITE ADDRESS:
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APPLICANT'PER ITEE SIGNATURE ISSUED BY:SIGNATURE ��
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CiTY OF ORC�O �PPLIC�TION �OR PLUMBZ�G PERMIT
Box 66 t1335 So Brown Rd)
Crystal Bay, MN 55323
�*******************��*****x**xr�**************�************�**************
General Instractions
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below.
Permit cards will be sent by return mail the same da1 the agplication is receined.
3. Permits are not valid until pon receive a permit cazd.
4. Work 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 new construction or remodeling is invol ved, a separate building permit must
be obtained.
7. A1 1 work must be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
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- JOB SITE FiDDRESS: ' � � �t
..-- Occugancy Type: �_Residential ommercial �
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OWNER'S NAME: Phone No. : � j➢ �pr � � _
Mailing Address: City:
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CONTRACTOR'S NAME: ,f � Bus. o. :
Mailing Address: �s�� City: � r Zip:���
Master Plumber's State ice se No. : . City e No. :
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PI,IIMBING FIXTIIFTE SCHEDIILE
� (Show number of fixtures of each tyFe on each floor)
� FIXTURE TYPE BSMT 15T FLOOR 2ND FLOOFt OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
V:ater Closet �---- ----+-----r---- ----�------�Sewer-Ejector ---- ------- ---------�-----
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Lavatory � �' ---�------ Laundry-Tray- ---- ---•----- ---------� -----
------------- �----i-------+-- I
Bathtub i I Washer ___1___^___ ________ __--
- -------------1-------------1-- ----�------ --------------�- -r-
_ Shower------ i ---�--•-----I------- ------�water_fieater- ----�---•----- --------- -----
-;-
- � Ritchen Sink ; j ( Water Softner�_ 1__
Bisposal-----1-----I ------ ------- ------ Wet_Bar------ ---- ---•--- --------- -----
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Dishwasher � Sump Pump �
Sillcocks----1-----i---- --- -------- ------ Misc. (List)- ---- ------- -------__' s----
� � Floor Drains --- - --- -------- ------ ��=��'-- �1 ------- --------- -----
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1. Fixture Fee The minimum Fermit fee is $30.00 $
Compute number of fixtures x $5/fixture
- x $3/fixture reset
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, _= 2. State Surcharge $ .50
� 3. Postage & Handlinc� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FSE (add lines 1-3 above) $
**�**************************************�r********************�**�****�a****
The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit,
agree� to do all work in strict accord�nce 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.
. � � �
Signature of Applicant: Date: