HomeMy WebLinkAbout1997-008671 - water heater .
'� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ��: i„i;��.°€��t�
Permit Number: ,-�,a;_;,u,;;�
Crystal Bay, Minnesota 55323 -
(612)473-7357 Date Issued: :,; ,,.,,:,� ,:__-.
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERM�TEE SIGNATURE ISSUED BY:SIGNATURE
• �� 7/
C1TY OF OIt.ONO APPLICATION FOR PLUMBING P�RMIT
BuY 66 (27�0 Kelley Parkway)
Crystal Bay, MN 55323
�Aiu 2 �9gi
� GENERAL INFORMATION �
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in th� �«�ell?ng•
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructio»,� Co:nplete all item� on this application. Compute the permit fee. Sign and date
the certificatian. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE• ,�'�-1 - �,I� Lh - Zip: �,� 3_�
Owner's Name: ��� • Telephone Number: 7� .33�: �
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Mailing Address: 's�-t� �;�:j L►��- City: �>�-�.���-> Zip: �-:�3��.
� Contractr►r'sName:�^(,,.,�,t�, �" ,�.,� TelephoneNumber: ��; -
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MailingAddress: />�'C�� 4%�,�;�Z=trh L�,:,� �i... City: N�',�Lip: �;-y��T
PLUMBING FIXTURE SCHEDULE
FIXTURts BSMT 1ST 2ND I OTHER I FIXTURE BSMT 1ST 2ND I OTHER
TYPE FL FL TYPE FL FL
�
Water Closet Floor Drains
Lavatory Sewer Ejecror
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw,�sher We[ Bar
Sillcocks Misc (list)
t
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
,, �, ,, x .0125 $ ;3•� `-�---
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ ��
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -� ��'`--
* CONTRACT PRiCE or JOR COST means the actua? �r�stimated dollar amount�hargec; for the perniiite�l
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City 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.
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Applicant s Signature: c��c � o ,:- ; � Date• ..�� � 1 �