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HomeMy WebLinkAbout1998-011111 (plumbing- replace water heater) PERMIT C�TY OF ORONO PERMIT TYPE: r 2750 Kelley Parkway- P.O. Box 66 Permit Number: -�```T'�'�;��`" Crystal Bay, Minnesota 55323 '.. � _ ''_ _ (612)473-7357 Date Issued: .- -. 1-_. —".:}r - _ SITE ADDRESS: _.,__ ;.�i�;�_=�.'�' tW'_. . _:`t-i . . _. . i`� . . _'4�i—i � - �_—il:=.—•i_;s.i 2:i DESCRIPTION: _ ��?zi.ti,;� -"��i{('itt_,i�,}3'1 �'.^f�it:�j. _.�F�'_ �- .�.�. } �_tf�.!�•w' . � �T:_,..;..- v �'i I�iflt'i 7 �i'J ..'�_t5'L:; --,���� �.`.:":._:��t,,.'s� _..._ _• E i�`.!i � f-�;��_i �`. i'�•�r-i '-�. . REMARKS: FEE SUMMARY: �';E._tl�;s;.s:st;'t, . �:�:�i v:.�+��r= t?=�;;� ��:_•`_= .�_'t_! i'I;�i.L� l;'� ____...___ �i . ' _;I.f i'E=#i,�i�:�::.. _.___—._____.. =t• . !=f�•-_+.i i'�:_' �•.�•,_'.��{•,,,1 :-�1�,tf's'�.s s'f.:��� �,�:�; ._�C_i CONTRACTOR: _ �::,4:�,, i,-:�.;;.�. _ OWNER: i`�;:_i;=�°�.�._I_i;j `''s,._i+i•t��T{v+; ;:!�� __�;jf.��::�:_ ` � :.;�:, .—. �: ;..'=< =ii�._f !—itt`.:�,� '•;-1. . — — Ly -. .:�• ,—t } � __;i:� %i:��;}=T�_L_:.: �;Y�. _ ��._ . _. .=:t.� =:��;` � 1,�`�';•f�?!���t�_�t.._��_ �•{!`'[ ... _ .�_{�.�i _. ._ii{�`� i�€�� ... 'm-''� - 1"�;.- -:'1�' _ _ _ 7L -"r i—'Fli!— �E — `:.t� fi—�" . — r%S:- _ i i"�;:� "'i'.` _ - !.W — ��4 ;P.:;`�':i`..:e��s�*:�-''+.i�j�`- �'"`._ _ #.�W._ ._ .•._L . ._. .Y._ . . ._. i_,_._. I ` . ._. . ... _ _. _. ._.�s . _ � . _ .._ . : .__ . .__. ...__ _.: .. . .._ . t.._. .__t . . .r ,: : .:., , � .,.. �� i— ; r�'r:J�:¢ .;-if-•,'i—'z-'.=;r � 1^Ir. - -� ��`�#:I ;_�:i i .°-`� i>-:;`y;_:�- .. _ . ," `�`,�.y _: I i.'- ;-�f... _ . _�.�. ____. ri. ._. _.. ._.___ . _ _. _ . ._.__ .. _. .. . =1'� _ . . �, _ . _ . . � -- _•.•`� _, _',`}T - .y•..: :`:n:j"r : - ... _ .._,;�,�,-, . _ ; ,_. t � .sf. .�{,r:y�V �_ ��:-;€�i:;f_t •_r:-;;1 !t . .� .•_:,_._._, :,:.,� `-r i i; s i-. _. E"?s. _m = ? � ._. _ __..._ _. ._� _ _. _...._ . ..._ _ ... ..__ ._i _. . � f � � . ^J'�, ` APPUCANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE A � � �� � � 1 � C1TY OF URONO APPLICATION FOR PLUMBING PERMIT }�oY b6 (27�0 Kelley Parkway) Crystal Ba,v, NIN 55323 GENE1tAL INFORMATION ; , 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POST�D ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or rcmodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tesced before it is covered. Call 473-7357. 24-hour notice required. Instructioi�,� Co:nplet? all item� on this application. Compute the permit fee. Sign and date the certi�icatioii. INC019PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair � Replace � Residential Commercial HALMARST, DANA .TOB S��' 3287 CASCO CIRCLE ZlP' Owner'shlam oRon,o, MN 55s9, TelephoneNumber: Mailing Addr �si2�a�i-osis City: Zip: Contractc►r'sP ����Eu�n ��„u�bt�� TelephoneNumber: ��7��e�� MailingA.ddress: ���� ��,,,- ;�/aJ /�� . ��,. City: �v�,��� Zip:,�5�� PLUMBING �'II�TURE SCHEDULE FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2IVD OTHER TYPE FL FL TYPE FL FL �: Water Closet Floor Drains ��, Lavatory Sewer Ejector �' Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishw�sher Wet Bar Sillcocks Misc (list) ��, n r � q_,y' �_.. � s# �, .,.,i � a i�'4`'� 6-.�r � r a.^� s.,}� * t�.. �w �s` �4„�,� � �-.� a `�"�'�,�:✓�:�''�—�'9'-���,� r -.� �ax�. � ,,,i�`�'4�i' v'�-i �� `�6 .� .: +�4��� v�w���..� ` -; � `�-;,;7� 3`"`��y.''r 3R ��. tx � �c �'r .�, n$ �., ;.- ? " ��* �:�t .J., -s� 5i ,�,���.., ,� �ei, ��„�j, f � c�:, �. Sfr,r�,�'R''��"lQ:.,� �.�� '-s q t a � r -� s�'9 a� "' 4 Y�1f � ��"���'��"+F i. e �- 3l �s'�.,� ;'�, 4- ,�'"��R,'� � S,,-`. +,u�..�-y �, �� ..1 ,,, �., � f, z., ,� r �� e _ '��`� 't'� w . �'s � �'�'� '",� �.. ��� a > � � "�, �{... � � �r � �'8`"s�s�f��;a"r'�.s".`}� ..;:.�.E��:±�h��Y"�.. �.:n�,�:�,�,-3'1 �€t... � , . ;u�=,�"�� ,'� ,�'..1^.�s�?m�c:,�.��.'h�`�"s�'§'��:.$'✓��;�'..'s."�s���x7:i:,...._ ..'�.'�' "�� � , . ,_ _ �.: �� _'.' -'. ; PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �(%� �� x .0125 $ (contract price) 2. State Surchar� ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater �' 3. Posta�e and HandlinQ (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ :�� - :.�: * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted work including materials, labor, profit, and other fized costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor,or installation aze furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the Ci[y may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Pemut, 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. �� �y _ , � �" � � Applicant's Signature: � � '�������'�, `�- Date: � � � �..,.: _ _. . _, .. � . _ . _ _ ; _� �. _ �.. _ , . , . , . � , - � � Y, . -� . f - � � ..� ,�,.� - . w . , . . � : � � . � . y : `_ , _, �; :. . �.. , a F,.r . .� � ,. : ��:: � � ���a. .. . } .: . F� , . � - : . . � � . � .�.y�.` r.;� . . �j.. �. .... ., ..H ` � :T �� YF t.. 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