HomeMy WebLinkAbout1992-004295 - plumbing � - PERMIT
�ITY OF ORONO PERMIT TYPE: �,��j�� ��
1335 Brown Rd. South • P.O. Box 66 PermitNumber: t�t�4•��-��
Crystal Bay, Minnesota 55323 Date Issued: Cf�./:�:C�/_=��
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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����W 1-�'�7i�B I NC; I N�: '.�7��s�:jy51 �t I t:HA�►D DAVE
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THE l►lVC�E�'.=;I Gt�ED ti�REE�'r` RE�:����'_ i''=: �'E!",h1 I ,.�:I a_i� T�� i�if�k::E THE REA� I t�IF'�;��VEi�tENT'=.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �G/.J
LU.. Uv �1.i�� .,� Li��.,il i.U/
� � 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. 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 honr notice reqnired.
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JOB SITE ADDRESS: /,S/O Green (fcC
Occupancy Type: v� Residential Commercial
OWNER'S NAME: �cc�e �;c,Earc� Phone No. : y� - fci9
Mailing Address: i,sio ��r« 7�cr City: O�c„o
CONTRACTOR'S NAME: �a �..7 6 Z� Bus. No. : 7 86• .�95/
Mailing Address: �y2� /��,/,,datl�/ / City: [�o, �?� ;r/, Zip: „s� ,�
Master Plumber's State License No. : 3 7,l7 City Cert. No. :
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PL[JMBING FIXTURE SCHEDULE
(Show number of fixtures of each ty�e on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
------------ -+----- ---T----- ------ --- -
� � �������� ���� '���r���� ��������� �����
Water Closet / � Sewer E ector
------------- ---- -`-—---- ---— ---- ------ -------]----- ---- ---�----- --------- -----
Lavatory / ° Laundry Tray
Bathtub Washer
------------- -----�-------- ------- ------ ------------- ---- --------- --------- -----
Shower / Water fieater
Ritchen Sink ' Water Softner :
-------------�---- --•----- -------- ----- ------------ -- ------- -------- ----
Disposal �_ Wet Bar
Dishwasher--- ---- ------- ------- ------ Sump Pump---- ---- ---•---- --------- -----
_____________1_____ ____-___ __�___ ____ ___________ __ ______ ________ ____
Sillcocks Misc. (List)
Floor Drains
------------- ----- ---�---- --------- ------ ------------- ---- -------- ---------- -----
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1. Fixture Fee The minimum permit fee is $30 .00 $ �D. �v
Compute number of fixtures � x $8/fixture
� x $5/fixture reset
2. State Surcharge $ .50 ,
3. Postage b Handling (Only mail-in applications) $ 1.50
4. TOTAL PBRMIT FEE (add lines 1-3 above) $ ,3 j�.�U
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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: /��` �� �a `•— Date: ` �.�� ��