HomeMy WebLinkAbout1997-009406 - water heater � PERMIT
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CITY OF ORONO PERMIT TYPE: _
2750 Kelley Parkway- P.O. Box 66 - �•_�ir':�`i�'�.-:
Crystal Bay, Minnesota 55323 Permit Number. _,;_;:�;`f_';y
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(612)473-7357 Date Issued: _ : --
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF ORONO APPLICATION FOR PLUMBING P�RMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the 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 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.
b. Aii wori:mus�be inspected and air tested before it is covered. Ca11 473-7357. 24-hour notice required.
Instructioii,� Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOI��PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair �Replace
�Residential Commercial
JOB STI'E: �0 �1`J `�ev''�r, ��,r.�e �J . Zip:
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V7 i►a.i J 1 i CCti��:, a�,a�, ai �ua a,a.
Mailin�.�dciress: City: Zip:
CUSTOM PLUMBING INC. TelephoneNumber: ��-{ � - 0t �{ 7
2105 Daniels St. . _ City: Zip:
P.O. Box 694
Long Lake, MN 55356-0694 �G FIXTURE SCHEDUL�
FIXTURF 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 l
Disposal Water Softener
Dishw.isher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �,
-�.j c�n x .0125 $ � `� �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ S�
.
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3� • `'�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party iLe reasoiiable ;n�kct vr.:u� of such items must he added to the estimated cos[
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job eost,
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
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: � Date: � ` �" �7