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HomeMy WebLinkAbout1996-008512 (plumbing) _-�_— _ . -. P�RMIT � �ITY OF ORONO PERMIT TYPE: �50 Kelley Parkway - P.O. Box 66 r�°;....!_i�:�,;,i�wi; Lrystal Bay, Minnesota 55323 Permit Number: ;_;�;=_:;v,��y (612) 473-7357 Date Issued: _ _. _ l.�:_i�_.._..'.``�r, SITE ADDRESS: y_.�i? L����':.;�,�:i_f i='i�i j j�.i f ;'±�� f:�a �' . �. . .`'•' _ . T'{i--;{. j .r_._:`Y'_•-,�_(��t_)�, :, DESCRIPTION: � �� ��E�:;�:� �`; ��lCi;s��1 i"1°� �'`�.=l'��i i'�• �'��sN �=i?.?��_'�t�'_� i.; • "r'�r .G �"`.•' F:i�'� �' :.�,I:({�':+�1-'!'-! r.,�_:i)'�:: 1 ;`;-,'�' �"�%_!"'i._,'t`�t.y_ r .;�:W.��T}.,.� REMARKS: FEE SUMMARY: °:'i-�:!�_'f=�T�;:i�•1 ��t;ii �;;��;E- Ft��.:> �::�= , i.t�� ��!�;I� J.�� ________ '' �'t� _'�.+��~'_�i•�{�,��i'x _........._.�...`.�«... .....�..r.:s�i� ! S�i T.:i S, i'ha Cs �:�. ,r''_,i}�i `v:i,,;���.�_t f.:j! u`�ex;-s `t_t J ' CONTRACTOR: - {�,�����. i����-�t. -- OWNER: , :��i_I3i��a_t_Ij'� ►='�t 1�3�-�j,���'=; !.�'t 1 .��x':Lf.t..•�.:,._ 1'ii£-it"ii'� �.���_� __-;��Ii-. i�i-;}ij- �F�_i,i s���i�1 F _'.'_�;_':1 �' -�t;€_,1 'i_: J� �-ii 7 F :fi:_. �-' . 1(' i r'� �t-�-�-`! I ,�'-, j'�'�1 .`i�.�kl_l:_: !LLI;-`{_tl��,�,I r+i��l r-�-"�1 .��{��:__ 1 _.f_ .. . : _ _.. :. i,r=.1, �`:} -. ';t—,�.:�:-�:;; 7. i—'�:�;';:: ..�-, ,,_. _.,-:_-:_.,-.r -. �,._,_ _•-: --r`,� - - _ ' r.�.'._':.;;: r _,-_ i.dS' "'1"" i�� �iit�f �r_y r_Y,�x-�1 I�.Is_, C t_ : _ ':� s;�.�;"�_= ' ��7;"�� �" 'e� i i i i•: ia;. . ,-,,.._a. ��_r-t: : • 4.;,�.�� s���- ._, . , - 3.• • • , n�t.. . : ._� t-�... � �:_•:_ � _I ":i__ :,: � j_ , i:i' � :� � � �. . __. . ,,.::._ _ ...�•;:_:_ � ::_ s-.__•._��_._�>• I . [ �;�-��•.:.._ a � �__.� i ;• E�:..:i i:.._,., � :� �'_. r, _ �.L.^»3":_• y' ''3 + ?�ji�y�i!� ' �!�'3 i .,f_.2 ��:F'•ir'^ t,• � ':S i�i 1�! _' `�' �1�� ; . i -.,. .. .__. _ ' _ _ _ : �-,�. � � �_ 4J��:t i-•�..�, r:l � , .1-- --�F'_._�.•_.. ..'t-.[; �';.,ii:: r-;t-�F;�-_..• _. _..._. .. . :`;u '=� . _ ._.�.:�[' i,._,,;°;�'i .-.,ti,�,.,�, _ :' ; � I (��:1 �:� ,.�: . t ' . ...._.. .. . . _. -y�._ F;_�„ '. :'• ,,.s.'. " `�4 �'7': "1,� - - .9'i:� ;�,,�.. � ,�,i i _ i_'..I�'�;- t,:�-i.�i ' ` �_�""- I L �v;-�_ x'..i I":,' i ` t�.�:�:-� "� i_. `•..� '. �}; � . t i" ._ 'I' ��:".;; •�3.�,..: _.. ._.. .. �". _.� ' . �J �:-�! ! = J_ �1:-'. _ _ f�-s'r'� 2 t-�#i e._ . �w i�-�'�sw.�_�� . �� L•... � _ t.'i'•:e:i`ls._.�i i �� �n.eLt�V ��_.1'1 "� APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE JQi-y!.h . �� v � �� � �i� ��' «. CITY O� UR.ONO APPLICATION FOR PLUMBING PERMIT Box 6b (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the Ciry offices. 2. Permit cards 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 POSTED 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 ins�ected an� air tested before it ic r���Qred. Call 473-?35.7, 24-hour no:ice required. Instructioi�,� Co:nplete all items on this application. Compute the permit fee. Sign and date the certification. INCOI��PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition __ Repair � Replace .i J[.�4: i . .�L�-1!-It i . .�.� JOB SIT'E: �:�z� ����� P����� ���r;�� Zlp. Owner's Na�!P ��'�°�� . �P; ����e< r.:�er: 5 (.�;- -_ �,2 Mailing Address: ` _ Zip: '-J Contractr�r'sName: TelephoneNumber: MailingA ddress: ������� � ' s �� J�:�� � ity: Zip: ��..ico.nc,�mwr r��t�r/'Nt� qf\C"�'P�1YI� � PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W Kitchen Sink Water Heater Disposal Water Softener Dishw.�sher Wet Bar Sillcocks Misc (list) ���a���1� E�E����06�� t��m ������€�ic �Lll�9�1�(�, C�e ��� �+���B�a���6�6��E E6��eW 6�� �� ����F-���G6�G'�� Cte�� � (��4�� ��7'�� ��f�" ��'��� ��.��8��� ���o ����'� ����D��� ��9� ����'&� 6�6P�9��iP��'�E�s �i6� � � �B�'�6C4���LE$o �3R� ��Q� PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) A,�d v x .0125 $ � 1 (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ .�() (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��C� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, 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 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 City 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 lnspectional 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: ,.E; F Date: t��9�1� �:��, .;� .. �4. . �,rrw� . ,':. t .�<.. t;,. . , . . '..S.Y... I f-.�y•y ... � •�t . ,�1 � ' ��.1�i . . � �.: . . . ...