HomeMy WebLinkAbout1997-009254 - water softner PERMIT
CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: 1:1 U!M E:, Gi
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued:
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE J(:�r ISSUED BY SIGNATURE
CITY OF ORONO APPLICATION FOR PL G PERMIT
Box 66 (2750 Kelley Parkway) ��� 8�
Crygtal.Bay, MN 55323 ����
GENERAL]INFORMATION
1. You may apply for plumbing permits by mail or`in person at the City of Of-ORONO
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.
6. All work must be inspected and air tested before it is covered. Cal 473-7357. 24-hour notice required.
Instruction, Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: �Ix New Addition Repair Replace
Residential Commercial
JOB SITES �� hbr Zip: 5
Owner's Name: TelephoneNumber: 419i -5%q?)
Mailing Address: City: Zip:
Contractor'sName: ULLB O phoneNumber:
MailingA.ddress: City: Zip:
PLUM SCHEDULE
FIXTURE BSMT IST 2ND "OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE. FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwusher Wet Bar
Sillcoeks Misc (list)
PERMIT FEZ, CALCULAnON
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
M•-IS x .0125 $ --•5�
(contract price)
2. Stateurchar e. ** Add the State Building Code Division
Sure ge to each permit. x .0005 $ • �J�
(contract price)
or $.5 whichever is greater
3. Postage and Handlin (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ?,1 . O
CONTI LACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work ' ludmg materials, labor, profit, and other fixed costs. It is the amount to be charged to the
costo r for the work done. If any material, equipment, labor,or installation are furnished by the owner,
tenant r any other party the reasonable market value of such items must be added to the estimated cost
or con t price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci 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 undersig med 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 statementsmade on this application are complete, true and
correct.
Applicant's Signature: 11 xm;
Date: -/119LAY-1
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