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HomeMy WebLinkAbout1999-012085 - plumbing , . � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 _ - Crystal Bay, Minnesota 55323 Permit Number: _ _ (612) 249-4600 Date Issued: SITE ADDRESS: � ...�.' _ ��; {i��:_: ;�' i;.;�• ;.j€�_�;; . . _ _ , -, - °" + ''-;-- : : :_. -- ,_. : . _` . :."�.....:i(. DESCRIPTION: - __,_����3.►��� ;==};�;�;i t. ? `{F-�. . ti::d.i�_'�-c°i_`� .`�i%..=?'tC:�1 i�'� ��.i�''r. ! ";,,_`� . .•�.�--'i i::_.'s_ F_�. : �. 1 i i y;� {' �:?t-}��.� _..___ ��E _ i . _ -'.Y _. ��'t'-���^i i i_SI_� _ �=�r'��_�'..`_:`�it _ .:•.'�'�;�}';_rv � _ .. . t �i i '-�f";_::-.a i�. i ius j,`_�:—s;�,:-,:��`..�4;' 1 �=:..`.�i;�,` ('?=i;-'�??`,i,=; � =_H!ii�,i€�;°`Y ( �_.`-'_� 1 ;�i i-_�l� �-��;1;` -- ='�''�=.;�`.'.�' T�`���..� I REMARKS: FEE SUMMARY: - _ ,-,ii:� ;,�:,�i_� :, .._'��;�� _ _ �_ . - - . _ W.=r.: . ._...: �.;,�;;(�i ;_ii_i „:_'.�''t;i'3:,1'��t== _.��_.�� - �'�`.�' 3 i�i i� : � j"F.:�:r ��._.�.�_.F:1�r' CONTRACTOR: - ;��_�:� i��.t-�:. � OWNER: _ . .. � _ . _ 1 � � �r�.,�:_ � ��,:`w=.:�� � .. .. _ _ . _ _ . �� . _ ♦ : � . . .i' _. _�_�.;_ 'r�'! -':i�f ,E. ._"�-,...._._.. .. .� .. . _ :,• r � : . �-.���:, ==;,�: � . . . .. . - -- . _ �'s _ : M _- �t , r �,.�__ `� �-' .. T".: ._ _. _°a _ t , .., . . _ . __ �... . � r ., i" ': g j � ; �' � . ,.: v , �. . . e x .. ., _ "_ . _ _ '—, ' ''..' F . ._+ }` f �•. � . . . . . ._ tr' _..��� . _..._ !_ . _ . �''...'__ ._ .. _� �:� • � w � :;: •_ ._ . ,.. . ._ . _„_: � . _. ,.._.__. `_ ,_ ,_ .�_ _ . .: . � � `' t� . ;•'. •. .� .� � .. ";:`J�: - - 3 (� ��i a >._.. _.... . : , :! `,:" : ', �: r ..- _. . � j r�. { : ��; �y_ .� ; i },i _e j i F' x" „ } .�. L :.. . .. : ... � . .__ _ .. .. . . . . - --.. . . �._ .... __ _ . ._,.. ._ . .__ . � � APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE GITY OF ORONO � 6122494616 10/20/�9 14:35 � :Oz1�3 N0:3�3 CT'T'Y OF QItONO APPLICATION FOR PLCP.ViBING PERMI�' Box 6G {2750 Kellty Parkway) Ct}�stal Bay, Ml� 55323 G�'�F��.�S3BL�i�IT�l!i 1. Y�u mry oppty for plumbiug peruvts by mail or in ptrttan at tric City bffixa. 2. Fera:h cards wiil b� seut hy roturq m�il tt`:or � raview is completed. PERM1'fS ARE NOT 1'ALID UNTIL YOU RECBIVS A PERMI': �IQ$�MU�T �T BEG�N U�TIL THE PERMiT CARD i5 j'Q5�'�B,�N TH��B SITE� 3, Plumbitt�pormita amp+be iasuai ONY„Y to lic�naod plumbiaY conua�tors and to groperty owr.era res�ding 9a the dwel�+ng, 4. VV� uiy oa�v con�tructiaa or cemodelin� is involvcd, a�epuate buildi�g permit must bo obttustad. S. Al) Woflc tlluit bC dOAe �t1 �cOrd�ce with thc Siate Code reqnire�,ente. 6: All work mmut be itfepcsud aod air tesitxl be°ote ii i�covered, Ctll Y44-4GQ0, 2,�-haur notice requixed. Instru� t ns Complete ^11 itams on this �pplication. CompUte the Rerm'st fee. Si$n an�+ d?�e the cerc3ficadon. INCC�Iv�PL.ETE APPLIGATIONS WILL I�iOT BE PROCESSED, If yv�� '�ave qu�stions, cali 244�fi{30. Please checic on�: N�w Addition Re�air � Rcpl�ce _� Residential Got�amercial .��8 ���: ����� �G�'1�1\S��a\(����iG7.L\ �p: . dwner'a Name:�,����c_1L �u<.�,`-- - Teiephone Number: 2►ZaEting Addt�: 1 S� ���,n'S �. �2� City: �-�� 7.�p: Con�tractor'B N�ne: � - � -, Teleptwne Number: �a-q 3�-�7"1�� M�tlI1aQ Adt3t'ese:��n:� 'c�-I�.Z �-t�� � � Ct�y': � ?iP: �`=��}� - ....�. PI�TJMBL�i� �TRE �C�EDULE i FY?CTURE B�ST 1S'T 2ND OTHER FIXTVRE BgMT 1ST 2ND QTHEIi TYPE FL FL TYPB FL FL w�� ciau� 02. �o�D�;� / LLt�vvetnry �, �' i Scwor �jettor $athtub i.a.undsy T�y fi" �- -�--� 5howrr ` W�Cs• Kitchen Sitsk W�tet Hater Dis�osai Water Sot4mcr plsbwaehet Wtt &u Si:lcocke Mifc (list) ` .� /1';��� �c/ . �� ��� GITY OF ORONO � 61z2494616 10120J99 14:35 [� :03103 N0:393 P�`.R1�[iT F�R [�si.r►n.eTrn�* 1. 1.25% of Cantrac.�t l�rice'� or �m Fee (S35.001 ����'�GCx� �L x .O1Z5 $ �'��G-L�, {c.ontrsec price> 2. Stat�5urchar,��. *� Add the State Buildssig God� Division SurCha:ge ta each pe:mit. __`�� ';�t� � Q` x .0005 $ � � (contract price) or S.�U, whichever i� great�r 3. Posta�c anct HandlfrL (pnly meil-in agplicetio�s) $ 4. TOTAL PERMIT FEE {Add ]in�s 1-3 ebuv�} � • CUNTRAG7 PRiC6 or 7�B COST mcens the aetaa! as est!metrd dolier amouna chargGd fior t�e permit;ed �vork lnciuding ma�rriale, labor, proftt, utd other fued coata. Jt is the amount to be charged to the cns!atnct for t?�e work donr. IPany naterial,oquipmcnt, l�bor,ar inscaltatIon�re fu.*nished by the owner, tcrutnt or aay otbcr perry ibe ru .blc m�;.kes v�I�u of�uch icr.m� r.,u4t he a��d w ch���,�m�tcr.1 cosr or ooutract pricx for permit fet pur;�:�e. [n t;�e oveat that thct�e is a ciiap�tc on thc amo�:nt of tf�e job coac, the Criy c�y ny-;ku tha eu�.:l6slon of i sigped rngy of the actual cantrarc. *'+ 7'tte 3TAT� 5URCHA3tGE is .0(305 cf the cnatrect price under al,(3�0,000 or S.SG • whi�hever iY arater. For v�luN�ious over S1,OOU,C�pO p�Ii tltc peputment c�f lnspa�iana'. Servias for the prico. The i:.�iersigned hereby app�ies to the City fAr issuance of a PI�mbi� Permit, agrees to do atl work in str�ct accordauco with the or�inances ef tt�ee City and the re�ul�dons of�the State of Min�e�nta, end cc�tifles that atl siatem�trts made on this application are comp�ete, tive and correct. d i ApPiicant's Signature; / ,�-����iG(/��it Dete;/ , o O- �