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HomeMy WebLinkAbout1995-007197 - plumbing PERMIT _ ���Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: - Crystal Bay, Minnesota 55323 - - - (612) 473-7357 Date Issued: - - ; _ SITE ADDRESS: �._ . - -,-._ _ _ _ _ �=s{.r ,-.... -�:� DESCRIPTION: ��•i�._�?:i1tiF='�°^ .y�E�?�Iif= _ S t .' � �r• 3 i�. .__� (-'3 �::�... ' ...._ [ i_.._• '$ _ r ._L:i ;•.''.-.. :!�_ i +t�.: x : : • f"�_,._,;�tt."i�{' T 't;'^i! :. `^� a'' 1��...._. �.1"'!�:L�. ._...._. �. . .t: .__ _ '.��-.'-��i'.�=.'. i''i+�:=?T�}-,` �•rTt� r}� "_;tr L�l. ! t L'1 M.11iVt�1: �"",iA'.'_.,� _�ir•.L 1 1:"i7••�L.i� �':�t'�.d iJL '!�i-r:4r�ifii•? .� 1+.lJ.Ji..'_`VVVV n ' ' "5f _- 'li3 1%.t. LLtt ti+..a L V '_�;._�;.,i;jri :.� .A L.i.i'���%t:�\'-'1.• "l — �i _i� aJt REMARKS: -�`� �- - ��� -' �:.�� ��; �:�- ;��: - -_ ...!'LLlS v\:i1! �_'_ _ t; FEE SUMMARY: - -� ' - - - :;,; - _ �- ; :_.:_.a _ ,..,.-.:_ ;-, : :,: r; � ;::__� r:.:�� �.:,- .. ,..; __:._._ ._�.� :�-_; � :���... . , . � •'�.=v;?�f_ii�'�.�' �?_' .�._____.._.�`�_E-:'__ �F_t7..=t ' _.._.__�_..._.._.. - _ ��F_:�_f i.!_ '•-j� �._'._"__" _... ... . _.�_� "_ . .....� . � . . _ _ CONTRACTOR: -� .- - . - .. �--4':�: -- OWNER: : _ _ . : : �;�1 _ � ._ _ __ _- � � ...-1 i-':".. L ___. _ _ ._...._..._.Y:. . . . .., _. , _ _... .... _ _ . _ ... . " '•,? _ !. . .:-' t,�. . _ . ._ . _ .. ._. ._. r°'•�''., .. � ..,., �.,--- - - - - - - _r:. .. i . _ �.:�..:�i i.:f ?_i .u.�. :f `' ' ' s i.' . � : • �.��: :? i��_i i�...... . .. .._ _ . .. . ._. ... �_ � ._ .� _.. , t f_ . .;'2?'•..... . x�{. ? :�'.� :: .._. . . ��; , T' � '�-' _ � . � �i . . . __._e ._. _ . . . . . . . . _ ,... ....__�. . � � . '' _ ' ' ;� _ �;. �: �. `, .•';_:!-'r r'v - -_ - s ;°�� - - - - �- t } f;� :_i Ii tti•;i-�{`•�3!:•_`.._ .=(lS: _ . . . ... _ � ._. . _ .. ._ . . .:��.-'•L=.._?.t;'.�'.`= _ _;._.._ . _ _. .._ _ :. - J L_ v! � � �. � , ���� APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE '�'��C, (lsij) �siy� sx�o�itiS �g aaM ia�sennusiQ iaua�os iaaEM tesodstQ �, ialeaH ialeM xuis uaq�a?�I iaqseM .I2MOL[S �iEiZ �p�mz7 q��P�g iol�afg ian�as ,Cioa�neZ suieiQ ioo13 lasoi� ia1EM 'Id 'Id �d�.L "I3 'I3 3d�.L 2I�H.LO QI�IZ .LSI ,LY�iSg �2If1.LXId 2I�H.LO QAIZ .LSi .LL�ISg �2If1,LXI3 �7l1Q��S �f1.LXl3 �I�IIgL�IIl'Id ����' :diZ— ��- :��t� �a. , - Z: :ssaaPP���tit�y�i ���--,�:aaqumNauoqdaias :au��s�.�o}�e.��uo� :d�Z :��t� :ssaaPP��uiit�y�i z?'�� �. 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PERMIT FEE CALCULATION l. 1.25% of Contract Price* or Minimum Fee 35.00 -�c'� . C� <� x .0125 $ -���� ���•� (contract price) � 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ � .�C' (contract price) or $.50, whichever is greater 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��� :�G' * 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, tenaut or any other party the :�asonable ;aarket va�ue of such i�ems must be added to the estimated cost or contract price for pernut 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 State of Minnesota, and certifies that all statements made on this application are complete, true and conect. � �� Date: �..��__� Applicant's Signature: `���! n����