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HomeMy WebLinkAbout1991-003905 - water heater PERMIT �ITY OF ORONO PERMIT TYPE: ��Ll�ME�Ih�iG . 1335 Brown Rd. South • P.O. Box 66 Permit Number: {-}{=j;;���}� Cr stal Ba , Minnesota 55323 `�='f��'�'=�f Y Y Date Issued: (612) 473-7357 SITE ADDRESS: i�j_;�� �i�h,��; ��i��::E ���� _jE� F. � . N. : ��.–�. t:=–:�:�c–:�,:�c–i�i 3�:�f DESCRIPTION: 3 .., „.,_, : � �- _.; , :_:��:F�: �'i��trE�t�i�i� F'�i ,r:it. ��'y�=�Fr �=I:=��!_�;�;:_°_� F'1�..�ri��:i,–,� W��t'i-: ~ �::--',: - . . =�-•TIf�iG �y � � i�Y��t�� r�4-�-�_r'�L.•�_ E};t o Z E�t`�-i���V ������1 L.i i i� ��� iiei'ti,� �.:��:;;'�i G�ffl�f �M.��rt" �R j�a�s�HS�r,r� � �` • ,.t v vv .r /►� '�..' 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(.i's._ i'i� I���'���_+ ,�i�; i�=°_�i�_c3 i�`i� i:`s_;;r°m ;,'.�,'s!�1�E�i._I�If._S'?I •� . � t ��� � � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�TY OF ORONO APPLIC�TION FOR PLUMBI�G PERMIT Box 66 t1335 Brown Road South ) Crystal Bay, MN 55323 *********************�*********************�************************�***** Genezal Znformation 1. You may apply for plumbing permits by mail or in pe�son at the City offices. 2. Mailed in application are subject to the postage-and.handling feesshown below. Permit Cards will be sent by return mail the same day the application is �received. 3. Pezmits are not val�id until you receive a permit caid. 4. Work must not begin until. the permit card is posted on the job site. (�+� 5. Plumbing permits may be issued to state-licensed plumbers.or to homeowner/occupants wh ' end tc(i;� � actually perform their own wozk in their home. • . '6 6. when any new construction or remodeling is involved, a separate building permit must b �y c���jR 7. All wozk must be done in accozdance with the State Building Code Requirements. 8. All work must be inspected before it is covered. Call for inspections 24 hours in advance (473-7357). Instructions. Complete all items on this application. Compute the permit fee. Sign and date the certification. Zncomplete applications will not be processed. If you have any questi6��r��a1�, � e���� 473-7357. Gy E �€ WALK-ZN PERMITS--Apply at City Offices, 1335 Srown Road So. (County Rd 146) MAIL-IN PERMITS--Enclose Fee--Mail to: P.O. Box 66, Crystal Bay, MN 55323 *�F**�h*�kir**ic***�tic9c*4r�ttkic�r�**�k***tk *�k**fc�k ic*�k**�k****�c**�k�t9cicic�ir*�t*9c�k�k�k***�k4cic�k*�t* JOB SITE I�DDRESS o-<- �- ! Occupancy Type: Residential �_ Commercial Work to be Performed by: Licensed Contractor �_ Owner/Occupant OWNER'S NAME • ��� Tele hone No. Mailing Address '� _ P ��� �'�� PLUMBER'S COMPANY NAME t Business No.��r�'��e;� Mailing Address � Master Plumber ' s State License No. � .�fc� City Cert. No. ********�********************�****�*************************************** PLIII�BII�G FIXTURE SCHEDIILE (Show Number of Fixtures of Each Type on Each Floor ) FIX:URE TYPE � BSMT. � ls[ Floor � 2nd Floor � Other Ploors FI?(TURE TYP£ BS�±':, lst Floor � 2nd Floor � Other Flo< Water Closet _ Laundr_; Trav �T� Lavatorv I I i7asaer ' � I ; 8athtub � � � _ I wacer �eacez � Sho•..�ez I --- � I 1 tvater Softner � i � + eC_:chen Sink � wisc, fixturesc� � Dis�esai _,� - (Lisc! � �' I Dis^.•.:as.`.er � I � ::et Bar �— ' , . � I — — ( —� Sillcocks � �� — Floor Drains � � I I � Sum� Pum� Sew+er Eiector � ?O?AL VUMOro OF FIXT(JRES *****�k*�t*fkit**�h�lc**1k*tir*�F*it�c�c*ic�F*icok7k�t*�Rr�Y**ir�k*i�rir**ic*7k**�k**�k*�c**�r*4c*et4c�k�k**�t**** PERMIT FEE CALCULATION l. Fixture Fee. The minimum permit fee is $25 . 00. Compute number of fixtures x $4/fixture $ ,��`�Ct�-�` 2 . State Surcharge $ . 50 3 . Postage and Handling (Only for Mail-in applications) $ 1. 50 4 . TOTAL Permit Fee (Add lines 1-3 above ) $ ����;.� �***�*�*�**�*��*���;****�r��:�*�*�����r**�**�*�*�r�*��*****��r*�**�***�*******�* 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 ozdinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. , ��, - ` `:.�"� ���e°'�� � Siqnature of App lcant Date �—