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HomeMy WebLinkAbout1997-009100 - plumbing PERMIT •Cl�i OF ORONO � 2750 Kel�ey Parkway- P.O. Box 66 PERMIT TYPE: _; Crystal B�y, Minnesota 55323 Permit Number: _;°_�:','s_;'::i_� (612) 473-7357 Date Issued: SITE ADDRESS: f DESCRIPTION: --- ----- - - - - - - -�.��i�i i tJ i i�l;i i'��i"S'i�7 '�. �`1�.:�''. !-�`�!?;;::;i 1 �:+:.i �:s::l�f:; i `.•'t:�ti.' , ;!_!L•'_, 'r _. �§�;,� 3 y��-i"�. . - . . v . . . . . . � REMARKS: FEE SUMMARY: C ra�- �,?.� i`si�:� t•;'��°'i ;;;1 L.+�.�Z3".' __.._ 4 • ' ' ' f"?3.... _ . . . . .. . '"', -....r..�. —'"' ' ' �-�— .�:i`, . _x._3� E_; !.�1 s.._ir_ ....._._.__.. i:�;.._ ' " . _,. ' CONTRACTOR: - ����t=��:_. .� -� =�-� �: - OWNER: `;r " �`. :^%�_a —_—_ _ _ , ._ . . ''i4 f G-__ ','-, -� ;! � r,.�.�-•�,-��;w -- - ! _ _ �_ . .. ._ ._.. ._ . _ .. . . . _. . . _ ..._ _ _. .. _ . .. 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"_. . .. .._ _ . .�i._ . l__.«" ' _� � � �.�-� C APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE -- _ � ,:;�,��RONG � 61<<+7�(351 u ____ --- 06/10I��7 10:2b � :01 /0� NU:271 r � . �E��i�'�� J�!N ? h 1947 G1TY O� (3RUNQ APPI.I�ATION�'tJR PL�tBIlv.G',;�'�RMIT �ox b6 (275U K�iley P�rkwdy) �rysta! Bay� MN 55323 �F',R A.I. IN��,.'�:,�Q.� 1, You anay apply for plumbix�g ,perrzucs by mail or in person at che City offices. - Pertnit cards will be sent by return iiiail �ficr a revicw is uomplete�i, �'�RMITS ARE NOT VALJD UNT11. YOU REC�IVk A�PERMI7'. �7+t RK M�JST NdT BE�IN U?VT�� mF�R p��M� AR�7,,,IS POS7`��? ON H� JOg 5�,� 3• �'lumbing pernvts may be• issuc�l UNLY to liccnsed �;lumbing cuntracturs anei ta property owners residing in thc dwelling. �. When arty ncw con�tructi�n or rcmo�leling is ittvolveci, a separa�e buildin�3 permit must b� qbtained, 5, All work must be donc in accordanec with Ute St�te �'cxfe requiren�ents. �, All work must be ins�cted a.�d aii tesied bcfore it is cav.rcd, Ca]] 473-7357. 24-�,�ur naticc rCquired. .L�'��,� Co;nplete alt iten�s on tl�is a�plication. Compute thL pGi�1it #'�e. Si�n and datc ct}e cer�iti�:atioi,. INCOh��'i.�TI�, f�P�LICA"d'IONS VV1LL N(7T BE Y,RQCE,SSED. If you have yuestians, call 47:i-7�57. Please chcck one; _ New ✓Addition � Repair Replace �/ Residential Corttrnercial � J48 SI'l'�: I 52 v ��_Sfi �Z�p. 4wner's N�me;�� �.�J���_Telep�tone]Vumber; + - Mailing Addre6�: _ l5�'{,��----- CItY: �^ 0 Zi � Contracti.►r'sName; 5 , - '�""�" �'- T���� �u.�m�� - � TeiephoneNumber: SZ�-l� 72 Maiiing�1ddre�s:3923 W�S���r�N �-% ____Clty:�ls��_ziP�__S Sy��-- YLUMBIN T F,�XT�RF S�GH�'D�-.� FIXTURIi kISMT 1ST 'ZND OTH�R F'IXTURE k3SMT IST 'lND OTHER TYPC laL, F�. T`YPE FL PI. ��/ater Closet �, �l4or I7rains I'°`'��0�' � Sewcr Ejeccor Bachtub �I l,aundry �'ray Shawer � Washer Kitchen �ink Water Haater Dispaaal � Water 5oftencr U18}]W��shcr � Wet Dar � Silicucka Misc (list} ^� - _ w .�� ;�RONO � 612473051 U 06/10/97 10:2b � :0�/02 N0:211 1'_�:.81�[L'�._.FFE CALCUI.A`t't[�� ' . i.2S% of �ntrac� Price'" or Nii��i ryurn Fee �,.� ��z �,�_ x .0125 $ 7�. �� � (contract price) :. �tate Surct�arge. "`* Add the Star� �uilding Cc�cie i�ivisi�t-� Surcharge to each permit. _^�'pr���r-- x .�pQ� � . 0CJ ., (cuntract price) or $.50, whichev�r is greater 3 Pasta�,a�}d H,�n�lin� (Only mail-in apptications) $ =+. TOTAL P�RMI'1' �'F�: (Add lines I-3 �bove) $ � , ` � CONTRAL'7' PRICE or JQ�Ct�ST mr�ns ihe acru�il or estirna[ed d�llar amount charged for lhc perml�[ed work inciuding materials, labor, protit, and othcr fixe�i costs. It is the amount to be cha�'g�d tc� �h� cuslUm�r fbr thc wnrk dane lf ar�y material, cyuipmenc, labor, or instailstion are i�arnished by thc awner, tenFirst or any other party the reasortahle market value of such items mu�t b� added to tl�e Cstimated cost or conlract price for permit fee }�urpc,ses. !n th�event tha; there is a di�putc on ihe �mount of the j�b ec��[, thr. City may request the submission of s signed copy of the nctual contract. "'" The STATE SURCFiARGE is .OU05 oI [ho cantract pric.e �nder $1,OOU,t}(}f) or $.50 - whichever ic greate.r. �or valustions over �1,U00,{1()0 call the llepnrtment of Inspcc;tic�na4 Serviees for lhe price. "I'hc undersigned hereby applies to th� City� for issuance of a Plumbing Permit, a�rees t� do all �vork in strict accordance with the Qrdinances of the City and tf�e regutations af the State of Minnesota, and certi�es that all statemencs made on this applicatr�n are �amplete, tri.�� and .::�rr�c r, ^ Applicant'sSignature; � __ _ Date: ,(ri / ( � , � ?��� Cr� ��ti���