HomeMy WebLinkAbout1990-003186 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: r'Ll1Mc�I idG
Crystal Bay, Minnesota 55323 Date Issued: `}'-}����='=
(612) 473-7357 Ci;:i�.7/�;t a
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�'F'I !��;V,Ni PFRMITEE SIGNATURE �SSUED BY�SIGNATURE ���
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
Crystal I3ay, MN 55323 ,_,.
**********,�**********************************************���i�r*******�***�,
General Instructions ,- �
1. You may apply for plumbing permits by mail or in person at the City offices. ��}''`1 {
2. Mailed in applications 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. Permits are not valid until yon receive a permit card.
4. Work minst not begin unless the permit card is available on the job site.
5. Plumbing permits may be issued to licensed contractors only. AU G 1 5 ��
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 hour notice required.
********�t*************************************�*,�***************************
JOB SITE ADDRESS: ��0� �fjf/'�',�Q�C./G,
Occupancy Type: � Residential —�mmercial
OWNER'S NAME: ,� 1J Ph�n� .30. :
Mailing Address: City:
CONTRACTOR'S NAME: �/� S �G G Bu s. No. : �������`
Mailing Address: / U - Q City: �'J`fT/jxl. Zip: ,3 �
Master Plumber's State License 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 1ST FLOOR 2ND FLOOR OTHER
------------- ---- ----a----- ----r----- ------ ------------ ---- ----�---- --------- -----
Water Closet �_ �_ Sewer E'ector
------------- --- --—---- ---- ---- ------ ------�---- -- --�---- ------- ----
Lavatory Laundry Tray
Bathtub Washer
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--- ---^---- --------- -----
Shower ------ Water Heater
-------------�-----�---•----- -------- ------------- ---- ---•----- --------- -----
Ritchen Sink ' Water Softner
-------------�---- --•----- ------- ---- ------------ -- ------ -------- ----
Disposal I- ---__ Wet Bar
-------------1 --- ------ ------ --------- -- --•---- -------- ----
Dishwasher Sump Pump
_____________1_____ ____ __ _______ _____ ___________ __ ______ ________ ____
sill�o�ks ;:is�. (:,is�;
Floor Drains
****************************************************************�*�t*******
1 . Fixture Fee The minimum permit fee is $30.00 $ �Q CJ
Compute number of fixtures x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50
3. Postage & Aandling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ �� �
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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 Diinnesota, and certifies that all statements made on this
application are complete, true and corrp.etz
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Signature of Applicant: / ��G / ��. Date: �'���