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Home My WebLink About2016-01064 - water softener CITY OF ORONO * 2 0 1 6 - 0 1 P1 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2016 '�' ORONO,MN 55356- . (952)249-4600 FAX: (952)249-4616 ADDRESS : 515 KOKESH FARM RD PIN : 31-118-23-14-0009 LEGAL DESC : KOKESH FARMS : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: NEW:WATER SOFTNER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 WATER DOCTORS MAIL-IN FEE 2.00 8201 CENTRAL AVENUE SPRING LAKE PARK,MN 55432- TOTAL 52.25 (763)535-1800 Payment(s) Minnesota State License#:mech-WC645002 CREDIT CARD 8557 52.25 OWNER LITECKY,MARK&ANITA 515 KOKESH FARM RD MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permiu. All provisions of Iaws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � ' �-.a V'�-'T�v�J �/ �j� / �lo �tif � �1�t �� Applicant Permitee Signature T Date Issued By Signature Date Aug 301610:42a Water poctors 7635351805 p.1 • g,Q� C�iy of Orono FaR CI'TY SE ONLY � O P.o.aox s6 �ate Receivea• �_�_b�p + l 2750 Kelley Parkway � � _� ..� t C►ystal Bay,MN 55323 Permit iF (952)249�800—Main `�kEy�H�� (952)249-4616—Fax APproved By: �„(� Amou�t$: . oZ- CITY OF ORU1�0—PLUMBING PERMiT (Ali Commercial Permits Must be Approved by the State Prior to City Approval) h#tn://www.dli.mn.aov/CCLDlPDF/pe piumbpianrevapa ndf GENERAL INFORMATION 1. You may apply for pJumbing permits by mail or in person at the City offices. Applicafions will be reviewed and a permit will be issued within two working days. 2. Permit cards will be senf by return mail affer a review is completed. PERMITS ARE NO7 VALtD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD!S POSTFD �N THE JOB SITE. 3. Pfumbing permits may be issued ONLY to licensed plumbing confractors and to properly owners residing in the dwelling. 4_ When any new construction or remodeling is involved,a separate building permit must be obtained. 5. A31 work must be done in accordance with State Code requirements. 6. All work musf be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour nptice required) TYPE OF PERMIT(Check A€i That Apply) �Residential ❑ Commercial (Approval Required) (Backftow Device:0 AVB ❑PVB] �,New ❑Additional ❑ Repairs ❑ Replace ❑ In Accsssory Structure? "You witl neEd prior anproval and may need CUP. (Per Orono City C�de, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: � � �5T 1 ( Owner: Mailing Address: CitY: Zip: Home Ph�ne: Alternate Phone: � Contractor Informabon: Contractor.��OLJl2T � _�� Contact Person:Cv C_�.5� �'�'�,i��,l�l Address:�� Qj(1'�(�L�• �,,�� State Bond#: �,��7 City: L. Zip: �' �. Expiration �ate: � � Phone; " � — c�� Atternate Phone: ❑ I nsu rance—Current: �� Aug 301610:43a Water poctors 7635351805 p.2 " PLUMBfNG FIXTURES BEING I�ISTALLED � � FfXTURE SSMT 1Ss LND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE Floor Floor Wafer Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower I Washer Kitchen Sirtk � Water Heater Disposal , WaterSoftener Dishwasher Wet Bar Sillcocks Misceilaneous PERMIT FEE CALCULATION 1. CQNTRACT PR�CE "`is 1.25% of contract price with a (Minimum Fee af$50.00) r'� _ �, Ol� Sv� x.0125 $_ �� (contract price} �(�inim m $50.00) /, 2. STATE SURCHARGE �� 50� ' x_�0�5 $. {contract price) 3. POSTAGE& HAldDLI1VG (Only on Mail-)n Applications) $ 2.00 °� �� 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ' �J "` CONTRACT PR10E or J08 COST means the actua! or es6mated dollar a�nount charged for the permitted work inciuding matetials, labor, profit, and other fixed costs. It is the amount to be chargeci to the customer for the work done. If any material, equiprnent, labor ar instaNations are fumished by the owner, tenant or any other party, the reasonable market value of such items must be addecf to the estimated cast or contract price for permit fee purposes. �n the event that there is a dispute on the amourrt of the job cost, the City may request the submission of a s�gned copy of the actual con#ract. FLUMBING PERMfT APPLICATIQN AGREEM�NT 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 reguEations of the State of Minnesata, and cert�es that all statements made on this application are complete, true and correct. Applicant's Signature: p��: U � Building OfficiaU Inspector: Date: Psge 2