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HomeMy WebLinkAbout1997-008673 - plumbing � PERMIT • CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 ��_�.��-;�'' �:7:� :��.�.,�_,, Permit Number: ;-;;��;.,:�_ ,, � Crystal Bay, Minnesota 55323 - - (612)473-7357 Date Issued: ;-,� :���,.� ;::— !, SITE ADDRESS: �_��`�� t_:=;°�;t_:'Wi ;=s�i j.i�•1; ;��} i_..°��;° . � . 'v . . 4:`�+%—.1_ W !'—�,_ _..:—i�liit,.�. DESCRIPTION: ; f� _. .. : _��:�:-. #=''�,:'r;:t��;?;��7 ��t�..'i'�.i1 T• �'��'•�� ." 1 h I �)j"�.�?_ �°��,{,��,,i iiu i��_�,�G:: t;c�:::. ;;�r�°i �:.r;:�: F�x;.°:;`i�T,,ii; �. �4��l i�';.�''. `,ti N i-�E�I'; � .. . REMARKS: FEE SUMMARY: . :�:'_i�;�k'�I;�;tk ���r{=� =s:i�.�� '=?�� '�-:;.`� , t;?i_� �i�=i I'L. I h� ------�----- �'�• • �'_} ��f.�j,�_{—�=3 a^+a�'+ .� '+—�1'! � i�7.:�� f�j:-._ _� _.t.'_' ,t _.....______ �} 'iE�',..,., . _ �i:�f . :i.: .'L�_4 r.!i!-:�'t.�. T 1.'`S , '�.[_i CONTRACTOR: � �~fz��°� ' � _ �- �� OWNER: , ._. .... - - - - .- - , ;�.:;..:: ..< ±'.i: ��.� ,: , ���� �._; , �� _.�'� i,j :E f L ,,,,,?ij.i'1. `' " - �i 1;- , `•s ! � �'�_���` .�.�i�._�� Z�it�I�"?�i' ��i li �—�t�i"_ � ' ^ .:��}'e:j.i t..}—j�Y'.t�.i_i L�:�.'�.l:`j� }7,�,t �i 1 I'i(�.�':{'—i;='I�;?.__'. I'ii'� F;`z:i;.?'•=; i:;— :;('•.iE�� �'1':"',� _ ._ _�;�i ; —; :—. — -:— — _ _ _ _ . f_ � �.'� __ ''= = �— ?i r i '-,1— :j,,: �C��:-7�_��:v��"i 'f�-s��;"�C��` �`i-i'.i9 j?-°va'r�T �,i"_��i-�_�_ '�j i�ih:i i�:��i ��Ff..]�i.:S.. ��..�F' �-' — i°t����i-'j"�� . .-,: r —. , ��.� .,, ., ,.._ � � ' . .L}?_�+.�._a.•.�: .:._t.. t'.....a .a..� f E .__•;,�_ __�_ : � �_i .. ._. .. : .�.�__>•= _ �:, ,. .:._ . � ,_.. �:i�.::.:�'�.. _i"i;": .'_�'z'�'.. ..__. . _ �"".L�L . .�... ���.:-"� �. i ' f �—�— � � y 9 �t '� � t� — f � F;ifi�.I i .i �.7 i . 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S . .. . . ... .__..._ ! }�if:,•l..j"t\ll_3 jJ�'z.';.,i j'•;f.i`:s',i�.j�., -;tii�'- —:�����- ��: ;ja� " 'e s� :;f i ;��' iLL:�e�''a;�— .�`y,'?�—i,�i� 'f i i-={-5'9p.—:"yi`: L .:,:�.�:,•.: _, ...3�. .. ,1 .•_ __�� i�:t...: �_. . . . , �_. ..;t` ?'i_..,. ...�._ _. . .i _. _ ....._,_:_. ..._ _ _._ ... . ..�_ ,_ u� .._. �.�_. : . _ . � �.. -�1'12u c.-��� �✓!�?�is? �-��/ APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � �L �� (lsi�) �siy� sx�o�ll!S .reg aaM iaqs�:n�qsrQ iaua�Jos ia��M �esodsi4 .�a1eaH ia�eM xuis uau�a►}I qseM iannoqS ,C�.�Z tipun�� qn�ua�8 iol�afg .�an�as tiolen�� sutei� ioo13 aaso�� ia1�M "Id 'Id �daC.L 'I3 "I3 �d.C.L 2I�H.LO 4I�IZ .LSi .LWSfl �2If1.LXI3 2I�H.LO aNZ .LSi .LY�ISg ��2If1,LXId �zna�x�s �ns������Nr��u� nos •�nd a�3i�ti�� sos� :d�Z :�f��� �, Ntll���tl/O�ZN?� . saapp��u�i��y�I :.�aqum�auoqdala.L •o� �����'v �• - :aureNs�ao���a�uo� :d►Z :���� "...,a.�PP�'�u�I��y�I :�aqiun�auoudalas _ �iu��s�aaun�p _�> ;�i�;�: :(IlZ ,�a ��,, -.: '� '��S g�r i�i�.zauiuio� I�i�uapisag a��idag �` ai�dag uot�ippd nnaN :auo x�au� as�ald � \ . . 'LS£L-£L� ii�� `suoi�sanb an�q no�3I 'Q�SS��02Id�g.LON'I'IIt1c1 SI�IOI.L�'�I"Iddd �.L�'IdL�IO�I�II 'uorae�i�i�.za�acp a��p pu� u�is •aa� �iuuad au� a�ndcuo� �uoi���iidd� siu� uo su�a�T Ji� a�aidu:o� ��uoi��na�suI •pa.�mbal a�►lou inoq-�Z 'LS£L-£Lb II�� 'paiano�s► 1► 3io;aq paasaa n� pue paa�adsui aq lsnui x.�om Ilt� '9 •sluauza�mbai apo� aa�1s aq� qlim a�uepio��e u► auop aq lsntu xiom II\/ 'S •pauie�qo aq isnui at�u.�ad �u►plmq a�ei�das e `panionui sr �aiiapocuai io uoil�ru�suo� n�au �Sue uaqM '� •�uitiamp aql u► �urp►sa.� s.zaumo�ivado.zd oa pu� siol��iluo��uiqiunld pasua�ri o1�'INO Panssi aq �C�iu s�►ui.�ad�u►qwnld '£ '�.LIS gOf�H.L I�IO Q�.LSOd SI Q2IN� .LIY�I2I�d �H.L 'Ti.LNfl I�IIJ�g .LON ,LS11W ?I2IOM '.LIY�i2I�d �d �AI���2I f101� 'II.Li�Ifl QI'IdA .LON �2IN S.LIY�I2I�d 'palaidiuo� st nnainai � .za�3e iieuz u.m�ai �iq �uas aq ji►m spi�� �►tuiad 'Z •sa��3o �Cl[� aql a� uosiad uc lo ItEuz �Cq sliu�zad 3uiquznjd .zo3 �Cjdde ,Ceuz no� •i ;;T��� �'w ����� 1�i0I,L�I�I?IO�I�II 'I�?I�I�I�� £Z£SS I�IL1i `��g I��S��� (�C�nnx.�r,d �alia?I OSLZ) 99 X�iI ,LIL�I?I�d�I�IISI�iIl'Id 2I0�I�IOI.L��I'Idd� OI�IO�?IO �O �11.I� 8d�5� PJW 'S110�l�d3N'PJlIN H1f10S ���Z8(Zl9) � ���J Sa3l 0�ONI W(llc! �'�E�18li0N �� � . , PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �6�-- X .o�2s $ 3S� or-� (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. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3�-�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 are furnished by the owner, tenant or any other party the reasanah?e rnz:ket value of svch items must be added :o 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 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 5tate of Minnesota, and certifies that all statements made on this application are complete, true and correct. � Applicant's Signature: Date: � ,� �