HomeMy WebLinkAbout1991-003645 - plumbing �
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CITY OF ORONO . �* PERMITTYPE: �'��}��;E:I�d�
1335 Brown Rd. South • P.O. Box 66 Permit Number: '-'�`:='_�=�:=
Crystal Bay, Minnesota 55323 Date Issued: �'``r��-y`r�j�
(612) 473-7357
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APPLICANTiPERMITEE SIGNATURE � ISSUED BY:SIGNATURE
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� � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323 -' � �' '
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General Znstructions
1. You may appl} for plumbing pe�-mits by mail or in person at tne City uffices.
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 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 construction or remodeling is invol ved, 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.
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JOB SITE ADDRESS: I q�� � �>��'y"��,;�� '�-�,��f� �� (���
Occupancy Type: x�Resid tial Commercial
OWNER'S NAME: -� � Phone No. : t"� �'- ����L�
Mailing Address: � c �;.- City: ,�,���,
CONTRACTOR'S NAME z��G,��,p��� �v��-��r�., C° �,�-,�-, Bu s.��� �� �� I�
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Mailing Address: �SCc�I i�k��.�,Q,a-.��..�n�.aA� �l City: Zip��
Master Plumber' s State License No. : J�.(/7 L. 3 City Cert. No. :
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• PLUMBING FIXTIIRE SCHEDULE
- (Show number of fixtures of each tyFe on each floor)
. FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
------------- --- -+----- - --- -- ---- -- ---- --------- --------- -----
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-=T----- --- - ---
6:ater Closet __--- Sewer Ejector �
-------------1--- ,
-------- -- - ---- - -+- -L-----
-a----r�----- �--------—----�-------- I------ILaur.drp-m aY-�--- � --�-----I -------- I ----
�1� ���
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Bathtub i � � �Washer `
_____________i____ � ______ � _ __ ____ ___________ ___1______ _______ ____
____^ __J_ _ _ ___ _ _ _ _ _ _
._ Shower , I I Water Heater I
------------ ---�---- +------- ------ --------------{----�---•----- --------- -----
_�
- : Ritchen Sink ' ' I Water Softneri ( I �
-------------�---- �--•---- � --------�------y-------------1--- --•---- -------- -----
- --- -�- -=
i �
Bisposal __-_� � Wet Bar i '
�
-------------1- �----- ------ ---- ------------- ---1---.-----�--------- -----
Bishwasher � �' Sum Pum � ----_____I
-------------1---- --- -- --�--- ----- ---p----P---- -- ------- - -----
SillCOCks � _� MisC. (List)
------------ I --- � --•-- -------- ----- ------------ --- ------ ---------�-----
Floor Drains I I__ ��U,r,��, I _
_____________ _____ _�____ _________ ______ _____________ ___I_ ________ __________� ----
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1. Fixture Fee The minimum permit fee is $30. 0� $ �C�(��
Compute number of fixtures x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50
3 . Postage & Handling (Only mail-in applications) $ --s��.�. °
4. TOTAL PERMIT FEE (add lines 1-3 above) $ �(`,, S(;
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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 Minnesota, and certifies that all statements made on this
application are complete, true and correct.
Signature of Applicant t I�//i'�� �C���_ _ Date: y-`�� �-��