HomeMy WebLinkAbout1996-008447 - water heater . R PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �=�<<-'��`"t'���' ����'�
Crystal Bay, Minnesota 55323 Permit Number: i+�:_�:_�:.�s�.�
(612)473-7357 Date Issued: # t�,=i��:=:;�=i�=,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: `� ���='�'' = -�=�'�i� — OWNER:
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ISSUED BY SIGNATURE . �
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CITY OF ORONO APPLICATION FOR PLUMB�,�1G P�RMIT
$ox 64 (2750 Kelley Parkway) �n'4'
Crystal Bay, MN 55323
GENERAL INFORMATION
1. Ypu may apply for plumbing permits by mail or in person at the City offices.
2. h 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 TH1E 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 the dwelling. -
4. When any new construction or remodeling is involved, a sepazate 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.
Instruction.� Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE: l��l�,I ;'�����„V,�:`� �(`I�I� Zip; ��?. ���
Owner's I�1anr�e:_�-X�fUv'�--� �i';��(°�2��� Telephone Number:�;;�r- -%7"7�
Mailing Address: �(c)�1 i-1 i htil woG� �(�A_i� City:�'�,G?�:��� Zip: ��3���
Contractor'sName• ING C0. TelephoneNumber:
MaIl1IlgA.ddPC�A VENTCO/APPLIANCE I ` City: Zip:
2905 GARFIELD AVE. SOUTH
MiNNEq�I�G��TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub. Laundry Tray
Shower Washer
Kitchen Sink Water Heater (
Disposal Water Softener
Dish�,vt+sher Wet Bar
Sillcocks Misc (list)
NORBLOM PLUMBING C0. DBA VE�VTCO/A,PPLIAN EINNSTALLERS
DBA VEfVTCO/APPLIANCE INSTALLEFiS (612) 827-4033
2905 GARFIE D7AVE3 SOUTH 2905 GARFIELD AVE. SOUTH
MINNEAPOLIS, MN 55408 MINNEAPOLIS, MN 55408
.
PEF°'"��T FEE C�LCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.0�)
x .0125 $ �J - ��`-�
� (contract price)
2. �tate Surchar ti. ** Add the State Building Code Division
Surcharge to each permit. ����--- x .0005 $ _ -��� ,
(contract price�
or $.50, whichever is greater
3. �.Postage and Handlin� (Only mail-in applications) $ 1.50
�.:
4. TCSTAL PERMIT FEE (Add lines 1-3 abovP) $ _�i �-'�:' _
* '�JN;RACT PRICE or JOB COST r�eans th�actual or es�imated dollar amount chaz� I for the perm;"ed
�:vork including materials, labor, profit, and other fized costs. It is the amount tc he charged to �he
customer for!he work done. If any rnaterial, equipment, Iabor,or installation are furr'shed by the ow-�r,
tenant or any other party the reasonible market value of such items must be added t� the estimated cast
or contract price for permit fee purposes. In the event that there is a dispnte on the am- �nt of the job cest,
the City may request the submission of a signed copy of the actual contract.
** :'he STATE SU�CHARGE is .00QS of the contract price under $1,��J0,00� or �.50 - whichever is
greater. For valuations over $1,000,000 call the Depar!ment of Inspec!ional Servic?s for the price.
The undersigned hereby applies to the City for issuanc� of a Plumbing Permit; agrees ta do �Il
work i:� strict accordance with the o.rdinances of the G;ity and the regulatior:.� of the State of
Minnes�ta, and cer�s�es that all statements made on ¢�is application are ce�-nplete, true a��d
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ApF �cant'sSignatur:,.: r Dat� : f�i",�-��
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