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HomeMy WebLinkAbout1996-007908 - water softner P�RMIT , G:TY OF ORONO PERMIT TYPE: �750 Kelle Parkwa P.O. Box 66 �`?�fF°�:-; f�E� � � y y- Permit Number: - �.�- � Crystal Bay, Minnesota 55323 �_'"'���;;' (612) 473-7357 Date Issued: ���.;;Yy._:,�,�r SITE ADDRESS: i,���;f I�-I�ii_i r�t•�l�I=;=t i�°�i �c: �-' : . � . � T'•`_y"1 �.�_-,�_-�.:�'-i'i i 1 � DESCRIPTION: ? �_:�T��!��: �'�.�.,?i'i1C�31�'? ��?;'t'(i4 i I• �`,s G�r+ [- ;.;���?j�`�`._: �'1 �2r�it�i �-p� U�_���'t:; j;����, f;r-:�;T f,i'�`Jt�:�. L ;�i���Ft '•_��_!�-�i�r!? REMARKS: FEE SUMMARY: Vjr�=i�...�i`1`�, ! T! f�'� g;�:f^, ���t`?..�'SN ��'tM :L.;4.�e . S_��..� l�it"t i L .L��•. ____.____ _.3 5.1..:z s� - ,C�`;.� ' _ ��l�+ t'f�.. � t=+ �; ] t`j�} '_'L�l1 : 1 '•j�'-_' ---------- � ' " I _ ��. :'�'_ ��•_ . ' " 'ti;�,,l{—a i',�_}.:-(� '�S �: �ii.! CONTRACTOR: - �:F,��� i i':�iit. - OWNER: [:i il_i_.�4.3f-#��{ -«:,_e_;i''i.i(i R_f-i'•_�;'��_.Y �-�=_���t-��?I.J i=.t-i='�C7 ;;4_!i._E_I t��:tJ�j iJ�'y' _,=;:3 �-!i_I�; �t�i z�� i;'t`; r��rt�;�����ri_;r����:�a E•,r�� �.�:�;a.;.�; ��;=;:��,��_� ��rti�i •tiL=����. t:�:;�(.;.':; °_;:_�:=;-•;`'i ii�z ,�.r r�:-�=�f ;. 1 T��u. t j�;;i;-y:�=��•`•���'J i"'.�(-�'.�=��'t' ;=�`�f;�1Y:'w�i�;� �`;��'.1'i 1.=;=�1 F�"1 ��_`• �°t:�i�'�.�� �1'���. i':�.:..F�� �I'�i''nz_}:1;_�•ii=t.l'�'-� - -__�__.. _. , . . -- ' ; '4•i�:�i- i t-!) "f'v��t .i-�tii-s•'= i I i'tE 1 t i i�i3��: 1 1 •:i E:� ,,:I !i�)--`: �{G`I'';�:� ,. _ i � I # i..:� t ����. •=�'___. _.. _...._. �-�. ._.. �.:�: ._..__._, �' _ _. T;1.. _ �:�,�_. . . _.'�l '� �:.I . � _. . __. �.�.. � � �'__,_.. . "T`~` ;,Ita i Ij�.�i_i ;_i1Ls 1.4f=ji�!_�t:`•_; {-ll��..J �� I t-i�!'._ !_f�" ('j't�`ii`•i�:_`.=:!_?�i�� i=�l���!_,�'I iU:_i {;i�Ei.;�FW� ;-�;j'-,ta°i s i t!:�r��i:��: ` `._ � � � , _ � �J _- > � -�' ''� �-'���— --- APPLICANT PERMITEE SIGNATURE + ISSULD BY SIGNATURE r ' C1TY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENL;RAL INFORMATION I. YOU 1111y aprly for plumbing permiis by mail or in person at d�e 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 the dwclling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work �nust 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. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCONIPLETE APPLICATIONS WILL NOT IIE PROCESSED. If you have c�uestions, call 473-7357. Please check one: ,� New Addition Repair Replace �Residential Commercial JOB SITE: �g(� b1.1q-r-, ���— Z�P� `-�-��q l Owner's Name: �i �,��� (� (�4�Y�l A Telephone Number: 4--�b - ���L_ Mailing Address: —���1e — �— iCitg�: Lip: _ Contractor'sName: �' -'r"��"`" TelephoneNumber: q��1�� ` �� ��»,�st �1'�,���:`i �•� ,.�d MailingAddress: �;;;;;� �:`�."��°;;�F,^' �"�'�''Y City: Zip: rv�i����::i l.:'L:., _ s. - PLUMBING FIXTURE 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 Dishwasher Wet I3ar Sillcocks Misc (list) � , PI�;RMIT rCE CALCULATION 1 . 1 ,25% ��f Contract Pricc* or Mini�itum Fcc ($35.00) - - _—���� x .0125 $ ���.00 (coiitract price) 2. State Surcharge. ** Acld the State Building Code Division Surcharge to each permit. x .0005 $ , �Q (contract price) or $.50, whichever is greater 3. Postage and Ilandling (Only mail-in applications) $ 1.50 4. TOTAL PERMI'T FEE (Add lines 1-3 above) $ �-� , Q(� * CONTRACT PRICE or JOB COST mcans the actual or estimated dollar amotmt chargcd for the pern�itted work including materials, labor, proCit, �nd other fixed costs. lt is tlie amount to be charged to the cu:,to:ner for ti�e wurk uone. 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, [he City may request the submission of a signed copy of[he actual contract. ** 1'he 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 af Minnesota, and certit�ies that all statetnerits n�iade on ttiis application are complete, lrue and correct. i Applicant's Signature: � �������-�`-�� Date: J� �� l� � �'� /