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HomeMy WebLinkAbout1993-005420 - water heater � � . PEI�MIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: ��=i;i�L;�.;��C; Orono, Minnesota 55356-0815 Date Issued: '='-'=�i�''-' (612) 473-7357 r'3:_`�'�(�,:''�;;; SITE ADDRESS: —='_y c �_;-�`,'t+:�,�t,� ;_�� _��: �:� r r•�i i -: i : —d�.—t-i<i�`,=, DESCRIPTION: i �_��f'E_;i��F �`ilJfi!L�1�"?�� ;'`}:�l'fi�l t• �;=*�'` � l n!�_��?`'=, ���,i3f!!C�_}i�� i;���i5'G:. ���:'Fs �'!r'�"'��Y-i�,(M ��,�:�. 1 �t`.�ii i J:���TE;=; �-ii�����=i : : ,:. : _._ �. .___. ... -�:r�:�'�:��- - � --_ i:3 � � ._ti'�_._. !L• � . . .. :-"L.'T` ,-,_a 1i1� i:};i � . J.+:.t_s.�_ .. _ ' . . � ' . � � _�2 _._T� _.J J —.T "Jl t�: REMARKS: _ _ _ FEE SUMMARY: �'��iL.3_;�i 7�:t�j �� , t ii:_ �, -- : : t�:. , 7t { _ Y,::�,�:_ i-^tV �_;� �}t; i•ii•;�� i it� ---------�3.r.!�f i .t — , �_��al'=i�wti�'a�, `.E . �4> ;�_t'�._i ! �'CC �'A_ . . i_ii_i _. ,. .... '._.UI[??.i;T._{;, _. ._� i'_`=t �tl `5`••.:'•_ . CONTRACTOR: _ �;�,�_� ; ;�;��. _ OWNER: •1 I,�j�-i�y# '# �,(� j p.i�� i C, 1�"j•_'+'};_ =i' � i' i; i �i t..__. ._ �_��. , :�_ _.�. _. _ _ �::��,._�f ._�-_r•��rt�r 'i;:_`'�. i ;=T�i i:ti��F;'J �f} ;'t:� ���'Y�;TM:�.�, L�� ������t.�:";�.••,��;.� ;��•,. C�--;;;:�� �;.��i��i�,:''f-HT;� ;-�h1 ?,;�:��'�i f,�;.1 _._. _. . �" ---- - �. `I.-'::F-.�-',�i '�'�.!<� ':j�..,`�i'wE'1`��i t="�;��t ?"��3�,C:t��'�; I�=?-+_�_{i=����= 1-?:i''�.t'�y.'�,'.�,S t_i1'� �!_! . .� ..`�.� ! �'�i= I�.�3j �*'1�'`j��_�=:r%�--j'�,-i:f.j 'T ° � 3'�.:T C:"l t3i_} i=;��'i3-�.�_ � ! ; t i;' �`,i E �.:.E{ P Fy -� i ,r�-i,T t'� '��i�'-�: .� ' �? i-;t! .I .� _�i"�.,._. . �.___ F�i . ._. . ._ _. r _. _. __ .. _���', _. : ! _ _.. .. __�rii`�= r:_. . . . _ � 'r :_,#i- �r,: t;:�d.� ;"i�_'2.lTj::. ..,(.,._�-� }�l -'Ti-F 1-•l�-� • ' L; ;-:� E� i iJ''i' i�ii± .._ J � �r .�.:::�.� �F'�L:»:'�}'7I'i..���•_i f ��.1 ��{ I-i : ..._ _ ��.t !'•f{''.�i_:-�,_� � ..__�1 L.�. �`•3.3 _��._� I',�. ,_ , `'ti`_��;�v="j.��y� � �����►l/�l�f ll/�u APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ` CITY OF ORONO APPLICATION FOR PLOMBING PERMIT Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 *************************************************************************** General Instructions 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Mailed in applicationa are subject to the postage and handling fees shown below. Permit cards will be sent by return mail the same day the application is received. 3. Permi.ts are not valid until you receive a permit card. 4. Work must not begin unless the permit card is available on the job site. 5. Plumbing permits may be issued to licensed contractors only. 6. When any new conatruction or remodeling is involved, a separate building permit must be obtained. 7. All work must be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Call 473-7357. 24 honr notice reqnired. ****,t**************************************,k*,t************************tr**** JOB SITE ADDRESS: _ _�����" ' ��,�¢�� ��� Occupancy Type: � Residen al Commercial OWNER'S NAME: ������ /���, Phone No. : ��f�$��"`� Mailing Address: � ___ City: CONTRACTOR'S NAME: Bus. No. : ��`'"y���-fi��� Mailing Address: �� d � " ' " - City: �����, Zip:����- Master Plumber's State License 1� . : ���`� City�Cert. No. : *************************************************************************** PLUMBING FIXTURE SCHEDULg (Show number of fixtures of each type on each floor) FIXTURE TYPE BSMT 15T FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER � ------------- ---- ----+----- ------ ------------- ---- ----�---- --------- ----- . -_-- ---T----- Water Closet �- Sewer E ector ------------ --- --- --- --- ---- ------�---- -- --•---- ------- ---- Lavatory �_ Laundry Tray ------------- --- -------- -------- ------ ------------- ---- ---•----- --------- ----- Bathtub ' Washer ------------- ----- ------- ------- ------ ------------- ---- ---^----- --------- ----- Shower Water Heater � ` Kitchen Sink 'I __-_-_ Water Softner �, -------------1----- --�----- -------- ------------- ---- - ----- --------- ----- Disposal __-__ Wet Bar __-: ��' ------------- ----- ------ ------- - p---P--- ---- ---- --------- ----- Dishwasher Sum Pum ------------- ----- ----•--- --------- ------ ----�-------- ---- ------- ---------- ----- ��' Sillcocks Misc (List) ------------- ----- ---•--- --------- ------t------------- ---- Floor Drains -----1------------- ---- ---y � ------------- ----- ---�---- --------- - _ ---- ---------- ----- *************************************************************************** 1. Fixture Fee The minimum permit fee is $30.00 $ ��BC! � Compute number of fixtures x $8/fixture x $5/fixture reset 2. State Surcharge $ .50 3. Postage & Handlinq (Only mail-in applications) $ 1.50 4. TOTAL PBRMIT FEE (add lines 1-3 above) $ �� �(1� *************************************************************************** The undersigned hereby applies to the City of Orono 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. , � � � Signature of Applicant: Date: ��'�� ���