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HomeMy WebLinkAbout1991-003736 - water softner ERIi�II� � �g��`� '�F ORONO PERMIT TYPE: �` i r n Rd. South • P.O. Box 66 Permit Number: ��-`-'"�'��'��' � � y, Minnesota 55323 Date Issued: ""�'i='�_` (6��; 4;;;-7357 t�i�./(i�:'�j, SITE ADDRESS: �.�:'7�:� �(�;�i���:i-�i :::F:�Cf:: L�F; T�i�� r. I . P�I . :�i=�-;. 3.- - --i��i�1.�. DESCRIPTION: W�i��; _ . i���lE:; :-�[E��-- F'IurEi��i���� F'�t�r;fi�. i y��� �'I;i�"!?t��'=. F'1i..iir�C�i.ii� �,�t:�i���:: i;•'��� Fi�._�I��E_CaC.�E 1 ��'�iT�!': '_�t_�r !��ai,R �� �,,, ' .;�� P' :�w�.� ; -•rs• ,:. n-•r- i ��.i i i UTr i�itvli'ir "�i.i:':;,:,�t t;t-CTr� � �� � t S!!:1tt1.rL Vt! SL•L � � T t?i '.+}ik?ii}i} {+ � . 1�.'S�'���ft�l•VV 11 .. � ,� �� ... .. � a..�..r. ' ` • � r r VJ 'lLlt JVnVV i.� G.i�17L'1 1� !�1 -'�j Ci} i%i vLir L�i� i-ui.'i��' T: �s,•'t REMARKS: -:�.i�;,-_ ...;�r� �_�-;; �tL-L.1.! ! !!!I'i.T11 l.VL' lfi�l'!�J!,V L-VSJl !S�V.L !1+�.•t'1 1r�L�!•l��Ji�!,1 FEE SUMMARY: ��ciSC f"CC �_:�} f 31�3 =�1..1��[=1 icl l''�C ------- —�'��� ��?�.•�I ��N ��:.�i f ,�t) CONTRACTOR: __ rl�,�:,� � ��,!�t __ OWNER: HIL; :iiii�,��:T r; ���� �'��'�1�+4�. �'IL�G3.IRE ��iLL • : t)j %1}.�i�+�l}.r.) :_:� ' •`�-' r �,i-• �,�.t� �FiE i41.•�"I �:.:fi�E_}�:: ��R !�1 i i�iF�1E��`+tiii_I'=� i 1�! a�:+:��, .; i i�:;t�;�ji i i �i�i �;:��'a� �.=���'� '�'�'�--i�.�.�. ' --- -----_..----------- ---------__----- --..________.__ _-- --._._ _._____ _ _. _ _� �r n-, , ,r.�! �.:.T;_. :-- r ,..�.. . -� - }r-i� �ri4L.+�F+:�!.`,�rf'tii.=.l� F"iL".!"tC C��i� �':C".S+`!f�'.-.�`.- G,- `i;i i :- %i y � t�:_:t.�.- _..i �r_ r.,�_:. s-_�- t vr• t - - _ ._. _. €:.i,� _ J, i i �_� f:r!r•..c i r-.c n_.��i. ����i-`i;t�����_�'�iE��l F �= `•'-+r`"^ t� - -r-:�-'.-:-• - r-.:-� - . `=i�c'•_�� i'`��} t-?#�a�_I I"�F..Ii1�_.C•-� y��3 u�_� t-��_'s_ ;.t'i i=�:�'� i€� _ E��`y��� 4.:_=#'�i`i__i fiil��_�� ':�7 `�' � (-ii_� i'��`t't t ;�= r!'�.T h [ 1�4'r'� '.,"}'..j'�..__ * T P'T' t � i_i��i_ii:�i_f �_:t+:Ll.�!'1H;i`_•C-��� H���+ � i F.t t- i i i"�,t +ir-`-.[_i i� ���_ ! _�� ��l.F t,-�_iEr.J[.�"_ !"\�_�1 �i-�' t�.. _.�'" : �i .. '.1 i i i L -�--_.M��- � �� � •. ✓�'—� -- -- - - - ��/C.�(i`.'J APPLICANT%PERMITEE ATURE IS D BY SIGNATURF � C�TY OF ORC�O �PPLiC�TION �OR PLUMBI�G PERMIT Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 ` �� **********�**************************************************************** General Instrnctions � 1. You may apply for plumbinq permits by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fees shown below. Perr.iit cards will be sent by return mail the same day the agplication is received. 3. Permits are not valid until yon 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 honr notice reqnired. ***************************************************�r*********************** JOB SITE ADDRESS: j,� 7 C� �����¢� ������ ��� �-- Occupancy Type: ��_Residential �Commercial OWNER'S NAME: �%lL /���v�..� Phone No. : ��j ' ����� Mailing Address: 1,�,2yz,•a;� City: �„2�,�.d CONTRACTOR'S NAME: �U���- � �, �-i<L l-c�, Bus. No. : ��Z `� - ' -�`�[� Mailing Address: �,�..�% v x r£�n-� -�, - City: ?�.✓� i. Zip: . 5 �!-t L Master Plumber' s State License No. : City Cert. No. : *************************************************************************** .- , PLIINIDING FIXTIIRE SCHEDIILE � (Show number of fixtures of each tyFe on each floor) FIXTORE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER � ------------- �----- --T----- ------ ------------- ---- --------- ------- -- T-------- r- r--- S:ater Closet � � �- ___ Sewer Ejector � � ��__��_�___��y _�_�__���__��'_��_ I �� ��__����__��� ���� ���.����_T�___����� _���_ .���_� !f �.T�d'=^G�'"v T=aV I I � LavatoryI �--—--- 4 -�----1------ ------------- ---- ---�-----� ---------�----- -------------i---- ' --- Bathtub � � ` Washer I I � ___�_��__��_�1��_��_�����_�1.�_ ��� �_���_ ��_��__������ ��_�� _���_��_�I�__�� � , � Water &eater � Shower � � :. : � � --- ------ -------------�---- ---�----- --------------- i --------------'--------•---------- I-:. - ._.�, Ritchen Sink � Water Softner - -------------------=-------�--------------- -------------1 X 1------------------'----- Disposal � Wet Bar � -------------1---- :. ----- -------.1------ ------------- ---- ---.---- � ---------�----- , _, _ � � Dishwasher ; � Sumo Pump -------------1---- I --- --- ---------�------ ------------- ---- ------- ----------�----� . Sillcocks � + Misc. (List) � ------------- ----- --- ; Floor Drains ------------- ----- ---�---- --------- ------ *************************************************************************** ' 1. Fizture Fee The minimum permit fee is $30.00 $ ?L� � � Compute number of fixtures x $5/fixture ± x $3/fixture reset ' , , • � - 2. State Surcharge $ .50 ;� . i 3. Postage & Handling (Only mail-in applications) $ 1.50 �� � 4. TOTAL PERMIT FEE (add lines 1-3 above) $ .��� � ;/�� S' *************************************************************************** �, 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. , � _ /� . . .• ' ,,�....�� �'.r--`� Date: �' / _' C�` y Signature of Applicant: �