HomeMy WebLinkAbout1991-003650 - water heater PERMIT
• ���Y OF ORONO PERMIT TYPE: ����;��;�p��
?335 Brown Rd. South • P.O. Box 66 Permit Number: t ii i::r,;i i
Crystal Bay, Minnesota 55323 Date Issued: z 7�+.':���''�i
(612) 473-7357
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APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE
0
CITY OF ORONO APPLICATION FOR PLUMBING P
, � Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
************************************************************,�.�******�����
,t�General Instructions �
1. You may apply for plumbing permits by mail or in person at the City offic�gs.
2. Mailed in applications are subject to the postage and handling fees�Fs own bel D
Permit cards will be sent by return mail the same day the application is �ceived. �
3. Permits are not valid until you receive a permit card. f
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 construction 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 required.
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JOB SITE ADDRESS: ;�y,sV �o:�n 7��-5, Sic�,�
Occupancy Type: �_Residential Commercial
� OWNER'S NAME: S`��/�l�-;,,; s ��-r"f, �.(r Phone No. : L/7SJ- oy y_j
Mailing Address: City:
CONTRACTOR'S NANiE: ��r r-��-1 s �l�,,,, 6�, ,� � Bu s. No. :
Mailing Address: �s"ii ��y 7 �£xc� s.o.- City: .�r",�< </S ,..,;- Zip: S s"yj�
Master Plumber's State Lic nse No. : City Cert. No. :
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PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 15T FLOOR 2ND FLOOR OTHER
------------- -- ----+----- --=T----- ---- ------------- ---- ----�---- --------- -----
Water Closet_�_ Sewer Ejector
------- --- ---—---- -- - ---- ------ ------------- ---- ---•----- --------- -----
Lavatory Laundr Tra
------------- -----�---—---- -------- ------ ------y----Y- ---- ---�----- --------- -----
Bathtub ( Washer
------------- -----� ------- ------- ------ ------------- --- ------- ------- ----
Shower ^ Water Fleater
--------------�-----�--•----- --------- ------ ------------- � ---�----- --------- -----
Ritchen Sink f Water Softner
���_���������1���_� ��'_����. ����'���� ������ �����������`� ��__ ���.����� �.�������� ����_
Disposal Wet Bar
-------------1----- --_--- ------ ------ ------------- -- --.---- -------- ----
Dishwasher Sump Pump
Sillcocks Misc. (List)
Floor Drains- ---- --- ---------- ----- ---------- -----
- ' - —-
------------- --- --
***********,t********it***********it******************************************
1 . Fixture Fee The minimum permit fee is $30.00 $ ;� �L:' , (,�`
Compute number of fixtures x $5/fixture
� x $3/fixture reset
2. State Surcharge $ .50
3. Postage � Handlinq (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ � ��g .� '�,y�� �� z-�
************************************************************** ************
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 rtinnesota, and certifies that all statements made on this
application are complete, true and correct.
Signature of A�;plicant:��C��� Date: � �`</