HomeMy WebLinkAbout1996-007879 - plumbing PERMIT
� CIT'Y OF ORONO PERMIT TYPE:
2?50 Kelley Parkway- P.O. Box 66 �`i ,_:€°;;�.T;;ii;
Crystal Bay, Minnesota 55323 Permit Number: �����_�;:,�;
(612) 473-7357 Date Issued: �y��.;._�l;,��,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE
C1TY OF ORONO APPLICATI01�1 FOR PLUMBIN��R�I�, �'�96
13ox 66 (2750 Kelley Parkway) � � � � '^"''
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits Uy mail or in person at the City 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 remodeling is involved, a separate building permi[ must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-honr notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT I�E PROCESSCD. If you have
questions, call 473-7357.
Please check one: New Addition Repair _� Replace
Residential Commercial
JOB SITL: n - � ,� ' 7ip:
Owner's Name:_ ���,��ax______Telephone Number:`_�;�j'- 7�_
Mailing Address: City: Zip:
Cont� CUSTOM PLUMBING INC. TelephoneNumber: �{�f'1'-�y',�-�
Maili 2105 Daniels St. _City: Zip:
P.O. Box 694
�� Long Lake, MN 55356-0694 JRE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYYE FL FL
Water Closet F,co. �rains
Lavatory Sewer Ejector
Bathlub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list) _
PERMIT r�E CALCULATION
l. 1.25% of Contract Price* or Niinimum Fee ($35.00)
_ �1���� ��� X .01 Zs $ — --
������<<��� �r��e�>
2. State Surcl�ar�e. ** A�id the State IIuilding Code llivision
Surcharge t��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) $ ��;� L%
* CONTRACT PRICE or JOB COST mcans the actual or estimatcd dollar amount diarged for the�crmitted
work including materials, labor, profit, and otlier fixed costs. It is tlie amou�it to be charRed t�� tl�e
customer for the work done. If any material, equipment, lahor, or installation are 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 SURCI�ARGE 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 unclersigned 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 t�ie regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
ry .
Applicant'sSignature: �__s� �b��z' Date: -- �—,� ��
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