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1994-006023 - plumbing
PERMIT CITY OF ORONO PERMIT TYPE: 2750 KelleynParkway • P.O. Box 815 Permit Number: �'�:'_'t���j�'��_ Oro�.o, Minnesota 55356-0815 Date Issued: �_��'�`{'•`:' (612) 473-7357 i��.�%#::i��:d SITE ADDRESS: :_{.;-.�_:? �'a���i�T'�-I :�r�i;��°`� Lt;i r�= - -.� . '�{ . i)°!—# 1 :'—' --- "—i,iiia:; DESCRIPTION: � �.T.:�i���-'�:�_ Pl?�{i1+_t71-�'� �C�';tSl�• TY�-'==' Fi;ET�?�'i?�==� � 7 }- � q�� -.c ��j`-rc;i�� �y{ �7[.� � . �J.C.?�E{4�1.j I� Y1���.i�-��. ���`F:� T�\L��_��Y!'7 '. �. rTv�l�I��.��.C..L .. i 1 1�-'-'" _ -' .�_..._ , �;�=�:i Ll��� IJi ul�VI�V ��/A!%1�tt�� (�f�L�!'r ! 1l�'T�lt! 4L V/ t 4�1. 1 ut 1�.l�Jt�lf V V V T! a a: _ , L:1 L�:� ,,,�.v� ��:'ttt.�i: ;;,; ri { ;:; �L�t ,�3 i✓,il i v�%�}v� ii ( �� t Vy LLfi .teJV 1 L'�RL r�I���V � ' !r{ Vfk �•1 r��,i� ,:.�r.�v %`idtt�i�' f r� f�s I.J fL4! 1Va 1V L��iG4lh1• L+:TV !1L••Ll!'I�! t!!T! • 1 11V REMARKS: ,�,��;�;::�U 4;t« �;;;� ;��:�1 Vl71�1 tJf�f�"rt� FEE SUMMARY: Lt��:E�t1�"�":i:��{ ��, ,:;i�t� �:L�e F_=�= �=:�, . iati t'1t=�IL It�� _______ _��.���.j °�;�.�t`C!���t,��� -----__ _�_.AA� ��:���t' FY� T�_=7 . ?.�ii '.�;�,f��'(.��3.��. �s:;!i , '_�f l CONTRACTOR: __ - ,�.: ; ;:�,;�.�. .... OWNER: r:�.. .. t-,� r 7} -�'�i L {��t 1 t! �/ r� ( j-. i (,_"� �}i �,7' ,__i-�;-:�.:_•����._!!= �-i._�=+�.a til �3=� llW=�•i a.... �1 !'��.G:':'';�: .�_ f�1fL �� �['i��� 1 _ _ . -,°� _'T� �;�;� Hv'� :=;t:i���� t�#f�t�i ����-± '=;{-;�:�F;E C��' _�_��?+�f=�`� �ii�� �5=,7�; ��ij;��,�:��=i ���,� ��,:��'��, :�3�_ . _._. ,�:;.- . ... .. _ �!.�--.- _.-, _ -. '�I lij t � � ;3' •i�;=-E�' _ _ ''" _ '� - =�=i i T•_��_ ;;";; "-�': iT:L;'L �r�.; ,.-�t:_;tl t=�i=;— -�a.��}._��;.;:` � .- : s:-:-•�---.�.. : -,- �i ,.. -: It_ ._ :�"�: :_.� ,?-._:":;"�._;•' 'z,_:a"» __-* I �_ __� .a... _ _ _ _�,� . _ �',:t. .__ i � :,.. *�.!.._7,�.._ _� �� I'i�_v�... �._. _ . ._.._ � ��r . . . '�'o L'� { � L..' �C, t� ;1 ��Y : t i- r `- : i � � � _ �;`��. F��` -� ! � . � € i �r 3 `'y l�.� < < � ;, E 1_i , :-;, : ; _, . _ .... . , ., •.»t ...._. ... __.._.. :1. ._.. . _ . ._...._•». . ... _. ..� ;' t._,.. '.�:�_' . , f y ._. .. .. .. _.. ?I,_., {"?i . .. ... , . . 1'i��....L. .. .. . � i+'ti:�'`�i i es .,r 3i #-°�` i:i ,.7_r_ s t.� »�";: �) � i} f i��s�i _,�_�i,��- � �._ -�L E-�G_� :.' . � ,- ��s ...:?��_ E_,'��.���d�`>#,_._..� {;:, W� _ i 'i�; t :'_ _.. . _ Ev:.. _ . 'i .._ _ _ _._ _:t__ _ _.._ _ �'�`.�:.��!'!� .._: �..._:`-i i '•_ , �; . � �f'YL,/.u�p�/ �yl,J ,� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � , . CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) ,D c�st� Bay, MN 55323 RE��`VE GENERAL INFORMATION �P R g 1994 1. You may apply for plumbing permits by mail or in person at the City o�ce��ONO 2. Permit cards will be sent by retum mail after a review is completed. � 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 dwelling. 4. When any new construction or remodeling is involved, a separate 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. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE A.PPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New � Addition Repair Replace � Residential Commercial � JOB SITE: '�,�D %�t't�����e� ��� �P� Owner's Name: f,�,� _ � ���b 1��U��'fl�afi�'elephone Number: .�j� �5"�''" Mailing Address: City: Zip: Contractor'sName: � t� , elephoneNumber: d3�Y °"I�OC7 ` MailingAddress: �� .Q r1 1tY� .���CJ�9G� Zip: �'S�7� PLUMBING FIXTURE SCHEDULE '�� `:� FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL :`. � ,:� Water Closet Floor Drains '� Lavat�r� . cµwer FJP'-r`Jr , � Bathtub Laurrdry Tray Shower Washer 'Y; Kitchen Sink Water Heater Disposal Water Softener `� Wet Bar ��� Dishwasher � ';-�� Sillcocks Misc (list) � ;��' . ;fa �;� 1 r=�� � � � 3 � � �� . � , .� � �� N � . %;i ��� y��� yF�.. y�rtp. �, `�y i+� .,�,?�.u• � . � . .. . _. . . . ., .. . . . . . .... .. . . . :. . ,...,..�x"U� °�� ^�..... , ' � , ,:, PERMIT FEE CALCULATION � "�'' 1. 1.25% of Contract Price* or Minimum Fee 35.00 `''' � j:�C� `.z.' x .0125 $ .��. y� (contract price) 2. State Surchar�e. ** Add the State Building Code Division � Surcharge to each permit. x .0005 $ � � (contract price) or $.50, whichever is greater 3. Posta�,e and Handlin� (Only mail-in applications) $ 1.50 4. � TOTAL PERMIT FEE . (Add lines 1-3 above) $ ��/. y�' * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fized costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation aze fumished 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 ttia�ihere is a disputc on clie a��w��of�h�job c:,st, the City may request the submission of a signed copy of the actual contract. ** The 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 of s� Minnesota, and certifies that all statements made on this application are complete, true and �� �. r . correct. Y;��,: .x�� .. � ��;?:`�'�R' . Applicant's Signature: ��"�" Date: �- � ---y� -�; _ �'� . .� � . �� ' � .-�...: , . �:�� x��:. ,� . � ... .. �. . __ . . . " � �. ���� n � .... .. ..... � . . � .. . . 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