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HomeMy WebLinkAbout1995-007149 - plumbing � PERMIT '" CITY OF ORONO PERMIT TYPE: : �� 2750 Kelley Parkway- P.O. Box 66 " ` ''"�"�r�'`'-� Permit Number. ��.M�'._�tE.=�� Crystal Bay, Minnesota 55323 ' - _ (612) 473-7357 Date Issued: SITE ADDRESS: . . .. _...:.. _ . _ _ .W ._._.-. :' F;.. . . . i�:i _.. . _. - -"_ ' _ ' •r i - DESCRIPTION: F " =�"t�=�:� . _... . _. ._. , - -- : , , _. . , , _ . ....:::.. ; - . . . ..... . .... , , . . .: �;L - _<��_ ,,!�? ..; : ' _._.. -_ ... . _ yi.. .. }: .�.Y-, ._ -•.r:±•.--i ' �.� . ._. _..;,ii.. _.. �� ., _. . .. . . .__. _ _ .... [ i}":'.`;?_,' !`s�._._. — T'y — �.il:� Lj, .• . . +��l1L'IfL _ �.. '��{.'� � _,i'.LL�h i <� �d�ti i:'}F!^ t� 1 uJ 1 i•sJl:7:V V V !1 r`,•i e;5f —�" ;�y 1�.1. !]•r7� +.u.r i L' ;:'f'.:�r'2i?i}et` i, .1._.�'..L...:.��...t,�,.. .T :~i.% REMARKS: - � ` °=`� 4. L:%lLL:i . __ ..'i% ........_ . l' � ...� . . : . . . .. •1� FEE SUMMARY: " - - -:; - �._._,_ . �F:� : _ _ . _�:� . ..':I�.. s��; __--_____ '.`'' , ... . . . _ _ _ � t-�t i��,1�`.-��_, d- �i-; -...��'.;a, - �r_ -- - �'-�� W�l_,; _, .__ - - M�.�1_:.i_.} =- ----•-----`- _ _ �t_t CQNTRACTQR _ . .: :T .. - _ OWNER: _- - _., , ,_ . _; _ , _ . . � . _ _. . . _ __ _ _ ___ _ _ _ ._._ ..- --_... _ . ._ _. .. ,�.�._ . - --_- : ;._. ::. , . : - _ - - _ - :�:: _. . __ - - -- . � � . . . __ _ . .. _...---- - --- . ;;�: . __. ,. ,., . �. w ,-:: .:�:_ _ _ _ _ - � � �_. ;�. t.:•.: ;�.�?;.; : �-.. ;-�- - - - - —r: ,r— . 2 i� '.T . 3 ....�». � � , i r.' '_ ' :�:ji: ' ' �7`: :_�: ; i . � __ . � ,._i_ .,.. . . ' '" ' — � ;i:._ i:::.r�._... .,._r F S._: .�.�._... . .�.....t..._.._ , . __ ..,_''__._ 7 �: . �..t i: : .. .. _, ._ .'�''! _ � ,. .. .__ . �.. , ._... .._ .... . . ._ > _.. .__ . � _ }�._ S �.'. . r . r_ �.i'i '-L' 3 ' � {. A.'.{ 4 t:i �t '( — ';� . z : :. . • i ,. �..� . r �_ ..'_� [': .�.. . . _. . .. . _ . _ . , . ..__I'',. . r i" �.� ' �v '.i ; . .' � S �_'.j�"' ' *i'S . � . i i `. N. L ._ M1 _ L ... .e . r.� �� E � . s�h: �t�� � ."� _ �� i � _;1 F�3 � �- � � f- ? I r . � __ ; . . .� • , t � _., ...,. .. _: .� .: .. . .���__ . . -..., � � si : ... �_-t . r_ t-Ws'.. _ . _ ._�1 ... _ _ _ _._ ..._ , ... . _. . _ � _ L _I _�'rz.��._�. —.,c.y, . APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE �"`� ' _ • _ - - - --����� CYTY OF 4R�Nd APPLIGATTC�N FOR PI�UMBING PERMTI' Box 66 (2750 Ke3ley Parkway} Cryst�l Bay, MN 55323 GE ERAL ORMATION 1. You may apply for piumbing permirs by mail ar in person ac thc City of�ces. 2. Perinit eards will be s�nt by rcturn maii after a revicw is eompt iN UNTIL�TJfiE ERM T 1'ARD TD UNTIi. YOU RECEIV�; A P�RMIT. WnR� N 5T NOT Bl:G POSTED ON 'THE JOB SITE. 3. Plumbing Dermits may be issued ONLY to liCensed plumb;t�g comractors a��d to property owners residing in the dwellins. 4, When any new construction or remode9ing is invoived, a separate building pzrtnit musi be ob[ained. 5. All work must he done in accvrdance with the 5tate Code requirements. 6, A11 work must be inspected and air testec� before it is covered. Call 473-7357. ?4-hour notice required. Lnstructi9ns Complete all items on this application. Compute the p�nriit fcc. Sign ��d date the certifzcation, INGOMPLETE f1PP�ICATIONS WILL NOT BE PROCESSEla. If you have questions, call 473•7357. Flease check one: New � Addition Repa�z� Replace Residential Commercial � ��o `���� n����. � ���.� � z��: .��3 s�� ,�os srrE: � pwner's Name• ;ll ev� Telephone Nunzber: � � •- `� Maitlang AddreSs: �cc;�.c� City: �:���-���� Zip: SS 35� _ Contractar'sl�Ix�e• ��F� ���>��1• '�Yv TeiephoneNvmher:.S"��-35�:� � . ��• Address: City: -��_..w�! Zi�:�S�� Mailing 5�3� a-`t�t v� c� PLUMBIN FIX'TURE SCH�DULE � �i ,,....,�n FIXTURE BSMT J S'T , 2ND OTHER FIXTURE BSMT �L�' �t�� v►n�•. Typ� FL P�. TYPE Wa[er Closet Floor Drains �vatory Sewec Iijcctoi BathEub L{�jmdry Tray Shower Washer KitcheII Sink Wstei Hcalar pisposal water Svftener Dishwasher Wct Bar Si1lCocks Misr. (liMtj � �- �c.z c_�L�,.. (� �i<'_���-��V`E'_. � V'��'� �� � ��.�,���i �-- . --/_ � �ve�-�' `�Z��l' i�l'u-�q ck ��. b�-w s�-(v 6 e�l�/�. �v" v �J . 1'ER�'ViIT_k'EE CALCULATI(�N 1. 1.25% of Ct�n ract Pr�ce* or Min.imum Fee (��5•Q�� rn�•� ��5, �,�� ����-;�� � ��� x .0125 $ (contract price) 2. 5tate Surchaz e. ** Add the Statc Buiiding Code Division Suxcharge to each permit. x .4005 $ (contract price} or $.50, whichever is greater � �� 3, PostaQc and Handlin� (Only mail-in aP�licatians) � 4. TOTAL P�RMIT FEE (Add iines 1-� above) $ _ L��'. �'�%� * CON7R�ICT YR1�.E or JaB COS'i'm�::;»s chc acsual or escimated doliar amount chargeci fot ihe permitted work including materiais, Iabor, profit, and oe��er fixcd costs. lc is che amount co be ck�arged to the cusromer for the wurk done. If any materi�l, equipment, labor, or inscallation are furnished by the owncr, tenant or any other parry thc reasonsble market value af such itcros must be addcd to the estimatcd cost or contract price for permit fee purposes. In the event Ehat there is a ciispute on t��e amount of the job cosE, the City may request the submission of a signed copy of the actual contraet. ** The STA,TE 5URCHARGE is .OQOS of Ehe contraet pricc uuder $1,OaU,OQO or �.SO - whichever is greaier. Far valuations over $1,000,004 calI the Department of Jnspectional Services for ttae price. The undersigned hereby applies to the City for issuance of a Plumbin� Pcrmit, agrees to da all work zn strict accordance with the ordinances of the City and the ;regulaiions of th� State of Minnes4t��, a�d certi�es that alI statements made on this ap�lieation are complete, true and correct. � -� ' ' '��z�y S� d'�i Date: 7���3 -�'� qpplicant's Signature: f ��'��'-��"`- - �a�ic� � . �u�nw�c��►�