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HomeMy WebLinkAbout2001-P03809 - plumbing CITY'r OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P03809 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 515/2001 SITE ADDRESS: 4745 North Shore Dr Mound,MN 5 53 64 PID: 07-117-23-32-0019 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Fixtures>3 DETAILS: Approved per resolution#: Separate permits requiredelumbing NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 52.00 APPLICANT: Herman Crawford OWNER: Herman Crawford MN 4745 North Shore Dr Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. i A�PLIC A E I NA R ISSUVD BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 CITY OF ORONO APPLICATION FOR,PLUMBING PERMIT 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 CARS;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 mustbe u>spected and air tested before it is covered. Call 249-4600. 24-hour notice required. Instructions Complete all items on this application.- Compute the permit fee. Sign and-date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If yoq have questions, call 249-4600. Please check one: New Addition Repair Replace Residential Commercial JOB SITE: tx p,, f z dip: Y - Owner's Name-. ' . 1 ' }, 3 c Telephone Number: V �r Mailing Address: . . City: iQ� : c Zip 6 v - Contractor's Name: 1 I Telephone Number. '}t 0 l _� ► �Cit �vMailing Address: Zfp• PLUMBING FD(TURE SCHEDULE FIXTURE BSMT IST 2ND OTHER 1.FIXTURE BSMT, 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet ' Floor Drains LavatoryV Sewer Ejector Bathtub Laundry Tray Shower fir=' Washer Kitchen Sink Water Heater Disposal Water"Softener Dishwasher I> Wet Bar' Sillcocks Misc (list) 4 OKI WA, KATE.AW 14 n 77 14 Sutdw * the ' '4111 1b OUR °each3g {eoaaltrts )1110 40,002, 770 0-70 L t f CJ.l ♦�V+ ,. 1wAb 1 . t 1 T • �`L{i WY �� 4pp `l'tMM0 $ M. 50 i r 44 4� `T'" (Add yI �S 1� ab0!�e) $ �C" F'tic�or�4 41., tie gre�s�ted dollar aan4a I� aiidlbr 'hi'" ted It tieo to 1 car e +VO! incTt materials, Tabor pzpfit 4 .offer ; , 6 �ab�r'''o� fliatt Il" r.f� 1Ih �QV�TIir"r qui MAW,_ v ark doh f Y a :e r car aay Either�art3►the rez nabie ket va 11e�f std Items MW be a wed cast - ` ntrac . rice for E fee ses: In the event that there�s a tie ammmt of t1�e,}ob�cost, = 4. C�►Y rvq uest the subi4 of �8Y �f ct�Rtract< pool!-Mfih 5'ft1''E $UT�Co" " :s Sof the nptcac�ti:p (� /►c�ear I,t ,�}$y1 [�t�r /•�p Q r�t♦� `rc t S Jr, HfK 66 a 4S � f, } V, �R'a V�ir:Vf� ��^`f M J �iM1foriii'iek� co;vMf ,I OnoY *� law was'she wtide hereYPtes td tie City fot �ce 'er�it ��d �t�rrl�j� �� ret ac�rchei three Qd�uQaa op#h C °fid 't# y�fy�ghl o �tf1e faf { M}TV t OWNtf - ..t L�4 c7tpy +M� di✓ - LL{TA1 Riow/.! j Axi. r ITS Ma v A�pu �fpIK tk lfz ' F "AT WIN Yg Evil QVN wow TAX V yo, 110,000 ¢W now, ,.a I J illF._. spar A Ott Hwo 'Too ittivoloo� / All�QK Y r 1 9 V.