HomeMy WebLinkAbout1990-003338- plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
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1335 Brown Rd. South • P.O. Box 66 Permit Number: =���t��=�_��
Crystal Bay, Minnesota 55323 Date Issued: 1 s�%'i�ti%'=!��
(612) 473-7357
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' CiTY OF ORONO aZ� ;) APPLICATION FOR PLDMBING PERMIT
' Box 66 (1335 So Brown Rd) , ;
" Crystal Bay, MN 55323
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General Instructions �
1. You may apply for plumbing permits by mail or in person at the City offices.
� 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. Pe�nits 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 involved, a separate building permit must ;
' be obtained.
7. All work must be done in accordance with State Code requirements. �
8. A1 1 work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
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JOB SITE ADDRESS: `
Occupancy Type: !/ Residential Commercial
OWNER'S N�1ME: � ��� Phone No. :
Mailing Address: ✓ City:
/ .-�- ` 'Z—"
CONTRACTOR'S NAME: /�{ , ,: n/ �'�,��'f"1b L�<a Bu s. No. : J '� ""�
Mailing Address: ,;�L. ;� so i.H//' ,�,�<,, ,�' City: ,,yy�5 Zip:�/E
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----- ---T----- ------ ------------- ---- ----�---- --------- ----- `
Water Closet � Sewer Ejector � ',,�
. ;:
Lavatory � Laundry Tray
------------- ---- - ---- --- ---- ------ --- -- -
Bathtub r Washer /
------------- ----- --—---- ------- ------ ------------- ---- --------- --------- -----
Shower Water Aeater
Ritchen Sink- ----- �•----- --`---- ------ Water Softner ---- ---•----- --------- ----- _
-------------�----- --�----- ------- ------ ------------- ---- --------- --------- -----
Disposal I- Wet Bar �
--------------� --- ---- ----- ---- ------------ --- ---�---- --------- -----
Dishwasher __�_ Sum Pum '
----------- --- ---•-- --� -- ---- --P----P--- --- ------- ---------- -----
Sillcocks Misc. (List)
Floor Drains � ;
, ,,.:
------------- ----- ---�---- --------- ------ ------------- ---- --------- -
--------- ----- �, ._
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1. Fixture Fee The minimum permit fee is $30.00 $ i
Compute number of fixtures x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50 � 1
3 . Postage & Aandling (Only mail-in applications) $ 1.50 � <
4',,
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 Minnesota, and certifiea that all statements made on this � '
� :
application are complete, true and correct.
; �
�
Signature of A�plicant: Date: i �',
�: i" ,