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HomeMy WebLinkAbout1994-006891 - plumbing PEI�MIT CITY OE ORONO PERMIT TYPE: 2750rKelley Parkway • P.O. Box 815 ' �`�J��` ����`"_ Orono, Minnesota 55356-0815 PermitNumber: �_;��'�r,:�;:�;� (612) 473-7357 Date Issued: �_f:�.:`=:�' :`=t�. SITE ADDRESS: _ .. ' ' _ t".:- .� :+- ,i : a..!1�� _.. i.. _ ... �+� � ! i:,i I �'•.:? � .��i �� . . . . . _._ � _. ._ . �._. �._.-_(3 i} 1 i' DESCRIPTION: . = _. �;"..�_3!=°�.°+ �:.:s;:i,, � - ;'._,��r,����1�1�� - '- �� E`�. _ �I;;T!_':�:;_� �'��;{;it::i j,s'�_� s;:lt:i=%•: i y�- !-+'��-'�_�y�_:'r'-; .F�z j'-;�±'j,'1i� � F'..� : �_l�i��>! p >:�.�' { 3:�c:�-.:-•.1i 7 j -. : ' '# ���.i`i�'•. ! �r!:. _. �...�:��!"'�e_ � �J t r_�i'l i?�i�`l._:i�:��: -a . . . � . . t t._Fi:i:"i)�-`:� ��`•.�=f�T ""'ti %tt �"et=trlt�i L.1 1 ! 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L -I � , � C� APPLICANT,PERMITEE SIGNATURE ISSUED BY:SIGNATURE 01i14i94 17:04 THE CI7Y OF QR� 612—�373-735? 002 _.., _...____._�.---- ,�. . � - ';�� � C(i f Oi� � ��i ' CnON� � �-"'_--- � ' c.a � —�.I',�;'i r� � � ��L—����.J:..i V t_.. L- CTfY QF OR4N[� A�PLiCA7It?N FUR PLUMBIIKG 1'ERMIT Box 6G {2750 I�ell�y Parkway) �A N G � 19Q4 Crqstal Ba�, NIIY 55323 1. You may spply for plumbing permEts by malI or[n persan at tha�ty offices. 2. Pern�t carda wili be sent by retura mail atier a rev�w is complaed. PL'RMYx'S ARE NOT VALIU UNTIL YOU RHCBIYE A PSRMIT. WO S p poar�n ar� Tx��oa srr�. 3, piumbfng permita mBy be issued OIrii�Y ca Iiccnse�d glumbing oontrsctv�s aac!bo propertY o�"'ners r�sidiu$ fn tLc dwelliag. 4. V�fien aur ncw construcxio�or rcrmdclin� is inrrolrcd, a sopusie buildiag peratit mttst be obtsined. �. Alt WOck nDUYt be doDe iA uao0cdac�cC with thc State COdC requt�^nm�rtts. b. All work must bt inspected .�d air tssted btfrrn it is wvc,rr�l. C8t! 473-T�3?. 24-hout aotic4 iequit'od. tnsttuctlons Ctmtplete �# items on thfs applicadon. Cvmgute the permit �ee. �uign and d�te the certificatiott, II�TCC?MFLETE APPi.,ICATTClNS WIL.L NOT BE PROC�SSED. If you have questipns, ca�1473-7357. Pless� ChOCk Os�: New __„ Addition Rcpsir �Replace _�R,esidential Commercia� JdB SI3'E: c�/-5 — � � � �c.-�- �__ �� Oa�n+e�'•s Name: ' i ^ �lep� e Npmbc�x:��t��J '�'2 U 7 Mailing Address: ,, _ — "�' ; _c' c�ty: � -Le� , e C�Lip: _���a 3 Contraetor'sName: , ��� ��z�+elephor�Numher: s���_���1� Mai�ingAddress• � _��, .:- �. - � � C;ty: %�%`-�'��%���ti7ap�_�����_.� v tt ttit i�v[: � SCH�D[�E_ FIX'�URR $SMT lST 2ND OTHII� FiXTURE 85M'i' #ST 2Nb OTHfiR TYI'ti F� I�'.. TYPE FL �L Wuer Clv�t F3oor Dtains ��ry Sewcr E�xtor ea�ab Lau�►d:y Tra,r � � �� S��r washer Kit�chea S�ak � Water Hrster ��� � Wattr Softeaat Aiahrvasbet ' Wet Bat Sillaocics �1isc (list) 01i14i94 17:04 71� CITY OF OR17NQ 612-4?3-?357 003 PE�,'�' I+`EE �U �'�I�N �. 1.,�� Of[�'nntr.Lrt Frir-r.'�' t1t M1111111111I1 �'P,t: f�:�.Q�� '����� — x .O12S $ �`�� .�-�� (cornracc ptyCe) 2. Stat,e 3�rcr I�aree• *"' Add the State Buildit� Codc ltiivisi�t � Surcnarge W each per�nit. x .t�5 $ ���5 {onntraci price) or $.5(}, whichever is gre�ter 3. P��ar�d Handlin� (th�ty mait-in a�plica�tians) � 1.50 - 4. �'OTAL PERMiT FEE (Add Iiz�s 1-3 ahnvc) $ _,�7, ?�-_� * CON'TRACT PRICE Or 1U�G17ST nuans tbe acxual or ratimaied dotla��maunc charged far thc gcrntivad � worlc including materiala� labor� F�+a�c, and cNher �ixesi costs. It ia ths �►nwunt to be chArged to tht customer fdT the virork done. If any maEe�is1. exiu�p�tieat,labor,or ins[allation are fumiahcd by the owner� tennne or any oeher�rty �he reasonable ma�ec valuo vI such itema must bc addat eo the cati�tad eat t�r cancracc prtee for permit fee pwrpwr.�. In tho event thae cherc is a ditpute on thc amount nf the Job oost, the City may request il�c submiasion af a aggncd oopy of the accue3 aontrsct• '�" 't71t STATS SURCHARGE is .UDOS ai ttle contract pci�x u�;dtr SI,a0Q,000 or S.SO - whicLcvcr ta greacec. For valusuions ovar 52,000�000 call t�a Ikpmrcmc�t of iuspectional Sc:vices for tha prisx. Tl7e undersigt�d hereby apglies tt� the City for issuance of a Plvmbing Perrnit, agrr.�s ta do alI work in StriCt accorda�vice with the ordinances of the City and d�e rcgulatians of thc Stata of Minnesot�, 2►nd certifies �,at 2t1( sta�tements made c�n th�s applicat�o� are eomplete, txue and corr�ci. � A�Plicam's Signatur+t: U'��•_���� �� ��� Date; — I '7 -��-