HomeMy WebLinkAbout1992-004536 - plumbing PERMIT
f OF ORONO PERMIT TYPE:
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� Permit Number: _ ��'_
� Bay, Minnesota 55323 Date Issued: C�:�/C��_�!'��
(bi�� 473-7357
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REMARKS:
FEE SUMMARY:
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APPfJCANTPFRMITEESIGNATURE f�
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CITY OF ORONO APPLICATION �tlR PLIIMBI�� PERMIT
Box 66 (1335 So Brown Rd)
�� Crystal Bay, MN 55323
� + ***************************************************************************
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. 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 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**1*****************************************************
JOB SZT$ ADDRESS: ��1 6 S ro
Occupancy Type: ✓ esidenti Commercial
OWNER'S NAME: ��t.,�GS Phone No. :
Mailing Address: �e�f �X City: ��a„�
---r---
CONTRACTOR'S NAME: Yde. f-/ f Bu s. No. : S`�S �5'�
Mailing Address: ut.Z �d e d S City: $v� .C.a4,T a.r-
Master Plumber's State License No. : M �q�� City Cert. No. :
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PLUMBING FIXTURE SCHEDOLE
(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
------------- ----- --------- -------- ----- -------------- �------- --�-- --------- ----
Water Closet Laundry Tray
Lavatory Washer
------------- ----- --------- -------- ----- -------------- -------- ----- -------- -----
��
Bathtub Water Heater g�
------------- ----- --------- -------- ----- ------^------- -------- ----- -------- -----
Shower water Softner
------------- ----- --------- -------- ----- -------------- -------- ----- -------- -----
Kitchen Sink Misc. (list)
------------- ----- --------- -------- ----- -------------- -------- ----- -------- -----
Disposal
------------- ----- -------- -------- ---- -------------- -------- ----- -------- -----
Dishwasher
------------- ----- --------- --------' ---- -------------- -------- ----- -------- -----
Wet Bar
------------- ----- --------- -------- ---- -------------- -------- ----- -------- -----
� Sillcocks
------------- ----- --------- -------- ---- -------------- -------- ----- -------- -----
Floor Drains A��
u �- ,�
------------- ----- ------ ---- -------------- -------- ----- -------- -----
�,� ---
Sump Pump
� Sewer Ejector
******************************** ******************************************
1. Fixture Fee The minimum permit fee is $30.00 $ � `v
Compute number of fixtures x $4/fixture
2. State Surcharge $ . 50
3. Postage & Sandling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ � o0
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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 Minnesota, and certifies that all statements made on this
application are complete, tr��d cornrec . /'
Signature of Applicant: �Q +�� � Date: 7��olyt.r
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