HomeMy WebLinkAbout1996-007749 - water softner P�RMIT
� �ITY OF ORONO PERMIT TYPE:
�'50 Kelley Parkway- P.O. Box 66 ��l._{_���t�;����;
Crystal Bay, Minnesota 55323 Permit Number: . _ �
Date Issued: �'"` '`��
(612) 473-7357 i:�:�;i t i; i�;�;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE �-f�.l1C .
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�Eg � 3 1996
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 of�ces.
2. Permit cards will be sent by return mai( after a review is completed. PERMITS ARE NO'T 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 plumbinb 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 reyuirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 2.4-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
tlie certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair �-Replace
_��Residential Commercial
JOB SITE:�—Lao N. �r� � la � . Z�A��5��
Owner's Name: �1�,� U-�-�.�� Tele�ho�ie 1\Ttnr►ber: �-1 a_ ���
Mailing Address: — ,�A,--�P - City: ���,,�� Zip: ���oy _
Contractor'sName: : [ ,.-» {, �� }�g-=-- :,f�. . -- �: Tclepl�oneNumber:���a�n
b e>rs 6 i`aQ�s erC Ys��C7ZTT1"^.'"'-7'��
MailingAddress: � _;�;,:, �� rR � _.--��� �, . , City: _ Zip:
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
lx�sCeT C?^Se[ FIoOT Dratinc
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
P�RMIT rE� CALCULATION
1. 1.25% of Contract Price* or Miuimum Fee ($35.00)
� ,C��; x .0125 $ � ,On
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcliarge to each permit. x .0005 $ , �(L_
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ?,1 , �(�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work inciuding materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. Tf any material, equipment, labor,or instailation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or con[ract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
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 cerlif'ies l]Iat all staternents ii�ade on this application are complete, ttue and
correct.
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Applicant'sSignature: - � i� "`— �� ���---� Date: �� - ��' :- c'
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