HomeMy WebLinkAbout1993-005278 - water softner � � PEI�MIT
I CITY OF ORONO PERMIT TYPE:
I 2750 Kelley Parkway • P.O. Box 815 ���-=}���'��'��
Orono, Minnesota 55356-0815 PermitNumber: �;��,•;�7:;
(612) 473-7357 Datelssued: i:�F,!�=��:j_=�:=;
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �,�� ,
� � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT --�'��8
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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General Instructions
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below.
Permit cards will be sent by return mail the same day the application is received.
3. Permits are not valid until you receive a permit card.
4. Work must not begin unless the permit card is available on the job site.
5. Plumbing permits may be issued to licensed contractors only.
6. When any new construction or remodeling is involved, a separate building permit must
• be obtained. � � "
7. All work must be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357. r�U� �' r1 ��Ca
24 honr notice reqnired.
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JOB SITE ADDRESS: �C�� N�'� 1''1 �r►m D�n v��
Occupancy Type: 7� Residential Commercial
OWNER'S NAM$: Y L Phone No. : �-1�oZ��_
Mailing Address• �q Y� City: ��10
CONTRACTOR'S N�-U�'1',GAN WATER CUNC�i'fi�1Nliti�, Bus. rro. : q3�- �l a�c�
Mailing Address: b City: Zip:
Master Plumber's ��(�j�. Zj,rj,'�,� City Cert. No. :
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PLUMBING FIXTDRL SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
� ------------- ---- ----a----- ------ ------------- ---- --------- --------- -----
. ---T-----
47ater Closet Sewer Ejector
------------- ---- ---—---- --
Lavatory � Laundry Tray
------------- --- -—---- -------- ------ ------------- ---- ---•----- --------- -----
Bathtub T Washer
Shower Water Heater
------------- ----- --•----- ------- ------ ------------- ---- ---• ---- --
Ritchen Sink ' Water Softner �
-------------�---- -------- -------- ----- ------------- ---- --------- --------- -----
Disposal Wet Bar
-------------1---- ------ ------ ------ ------------- ---- ---.---- --------- -----
Dishwasher_--I_ Sump Pump
--------- 1 ---- ---- --- --------- ------ ------------- ---- ------- ---------- -----
Sillcacks Misc. (List)
-------------�---- --•-- -------- ------ ------------- ---- ------- ---------- -----
Floor Drains �_ l_
------------- ---- --�----�--------- ------ ------------- ---- --------�----------�-----
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l. Fixture Fee The minimum permit fee is $30.00 $ �r"J �JQ
Compute number of fixtures x $8/fixture
x $5/fixture reset
2. State Surcharge $ .50
3. Postage � Handling (Only mail-in applications) $ 1.50
4. TOTAL PSRMIT FE$ (add lines 1-3 above) $ �- f ' ��'
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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 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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Signature of Applicant: � � ��'� " T��.�, ate: C�" l-= � _
���� AN WATER
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