HomeMy WebLinkAbout1991-003781 - water softner PERMIT
1 crry OF ORONO PERMIT TYPE: Pi..t_fiiE:ING'
1335 Brown Rd. South • P.O. Box 66 Permit Number: {-''•-! '_,
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: _
ti _:r D'•t+_II: ; i'1 _1 11_DI',i_ I 111
I r'.
DESCRIPTION:
r'1 AX TIJ -
F I L 4irfiLf i ir1-q Peiiii:i t T y��-s I=I;�Til 1-D
r>i .� .t.. 1 .i _.VLA_. r:rr•Tr-•r-.. �._..
E L.(i.__t i i-1 Wic, 'I: t' !:__• !L) L.
i:.•i i i OF i_'iiW TU
it ii':=Tt't'
1 11T^I L•4 Ui ! Lt L-
_J1'j"'Vvvv
iii CL'V1 1]L T .IS 'v VV
is j��.i is}fj
V1 LL.f7 •i'V
vvvvv
']'1 'tA! i
REMARKS:
FEE SUMMARY:
_
J L- I N =}{i
_iii C}I'!Ei4= _ tCi
--------___s :r
CONTRRA TOR: O.vffl� j
!_?t_L � /s !_!1•_! !_•l:i of E Et•:I� I':jiJ�1
r'.{_1:-:{_7 i:iii_L_I!=.t}=lt f NOR"1'"it tSr"fARE_ Dt?
I IN N14 T tit! i'I- :1•f i. IM: ! �.,''.+•�•F
T' 1`- 7.t�^. ,— T t^ t� f��e s; .._.....!7f'-:'-•7— — — MAKE
"-' "E-�
I HE t ND-ER: T 13NE-D Ill.:_RE€ T {'lG!�;'_3s=•=- i S_ PERM I i CJN D O i�ll-�1'•.{_ #THE RCA1 i 1`Pf--•:�!{�E,1vIIf—N T
^• : �.;E i E_I.! F-F!V£; h�3F1 E__ f i_I )i D !}LL_ 't4VD_Mtli•. I' f ii •l L•D_DI€I L 1 iry4�1t.•E_ I I i tis! j r:;
7 }} L_ L•_ I T D_i1-
- t n� C- _IY M I D 1'-4 _. _ H � i L_0 I I'•G C01 L`_ i: !{U I I EN I-`S .
D_Mt i_il�dE_D f_i ",�}I I'�1 i{��!_: :i HI ii�l F 1 1�I_ ` i'- -} i ,i 1f� ,`-E 31 f� }1i
i
L
APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
General Instructions
Off
2. Mailed in applications are subject to the postage and hand liwn below.
1. You may apply for plumbing permits by mail or in person at the C
Permit cards will be sent by return mail the same day the applicat 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. `mus
6. When any new construction or remodeling is involved, a separate builma pzrmit 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.
24 hour notice required.
JOB SITE ADDRESS: 1-170S` V�D/�TIfS(d M
Occupancy Type: X Residential Commercial
OWNER'S NAME: l�WFo/4D Phone No. :
Mailing -Address: l�70 _/WJ_ `IL..ft!o/dB O/P City:
CONTRACTOR'S NAME: ,61�I 4f- Bus. No. : z,- ;7-aC2
Mailing Address: 403o cc��(�s�A� U-/f_/ City: N(i�u�uFTo�y,�ff Zip: l
Master Plumber' s State License No. : City Cert. No. :
PLUMBING FIXTURE 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
----------- --- ---------
_I=====_ --
Water Closet ISewer Ejector
_ _____________-____ ___._____ __________-----
Lavatory _____
I Laundry Tray ----__-
_____________ _
Bathtub ' I Washer
i
-------------------- --------
Shower -------1-- --- ------IWater Heater-I---= _------ - -----
--------- ---- ------- --- ----
Kitchen Sink Water Softnerl x I_
---------------
-- -------------
;------------- -`-j -----------------I-----
Disoosal I Wet Bar �-
—___ -------- ------
-------------1-----�----
_—_____ ______-------------
Dishwasher
1 Sumo PumA
-------------1---- ' ---- --- -----------,------ ------------- ---- ------- ----------Ir-----
Sillcocks j I Misc. (List) L-
--- --- ---- ---- ----------- --------- ---- ------- ----------.LLL ----
Floor Drains _
------------- ----- --- ---- ---------1------1-------------1----1-------- ----------L-----
1. Fixture Fee The minimum permit fee is $30.00 $ d
Compute number of fixtures -- x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50
3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
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.
1
Signature of Applicant: rl�-. Date: l0 � 4