HomeMy WebLinkAbout1992-004705 - plumbing PERMIT
CITYVF ORONO PERMIT TYPE: PLUMBING
;
1335 Brown Rd. South • P.O,'Box 66 Permit Number: '._�_�4705.
Crystal Bay, Minnesota 55323 Date Issued: 10/ `'''
(612) 473-7357
2
SITE ADDRESS:
S: S OLD CRYSTAL BAY RD S
P . 1 . N. , 04-117-23-31-0011
DESCRIPTION:
E FIXTURE
PTLuriibing Perrtiit• Type FIXTURES,
EXISTING
1313300000 FT -c, o�� I • �rREPLACE 1 WATER HEATER T GEN 30.00 n ;i1t-s;iis*
1222 VV1V0 n
vi vii/ .1W
1351700000
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V1 NL tI .i.,JV
CHEEK TL 64.00
RECEIPT-THANK YOU
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REMARKS:
FEE SUMMARY:
Base I$ee MAIL IN
Surcharge
is rge i.l? Total Fee
Subtotal $30 . 50
CONTRACTOR: OWNER:
t. F% HTG R;Ls E RMr--R .J1=NATHr=N
440 PIERCE '3 D CRYSTAL STAL E,A:' RD S
ANOKA j MN 55303 LI_NG LAKE MN h 5:3S
(61 7) 422-�:1_,S I, 449-8628
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APPLICANT/PERM
TEE SIGNATURE ISSUED BY:SIGNATUR
i
- iiITY F ORONO
APPLICATION FO DMB*NG PERMIT
Box 6' (1335 So Brown Rd)
Cryst' 1 Bay, MN 55323 aL: :
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Genera Instructions '.
1. Yo may apply for plumbing permits by mail or in person at the City offices.
2. Ma led in applications are subject to the postage and handli $,gee hoy�m,�low.
Pe it cards will; be sent by return mail the same. day'the applicAnchiA ce�i d.
3. Pe is are not laid until you receive a permit card.
4. Wok must not beg n unless the permit card is available on,the job site.
5. P1mbing permits Tay be issued to licensed contractors only.
6. Wh n any new construction or remodeling is involved, a separate building permit must
be btained.
7. Al work must be done in accordance with State Code requirements.
8. Al work must be inspected before it is covered. Call 473-7357.
j 24 hour notice required.
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JOB SITE ADMEN: ! ***5(oS Old en-61-at is S.
Occupncy Type: )( Residential Commercial
OWNER S NAME: JOIl6L 1(Ml FiPhone No. : 44148- gl a2.0
Maili g Address: t yQQ. .-, City: !)rI3Y10
n
CON ° CTOR'S NAME:! f r/C dv) /"LG �4/(hal/( ' Bus. No. : 422- 6
Maili g Address: + 4'lQ Its,-' - .Sr- �J City: /`A-7i6L Zip: 5T
Maste . Plumber's State License No.: J/6'5t1 City Cert. No. :
�
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i 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. - T . .
Water C oset Sewer Ejector '
Lavator Laundry Tray
r
_
Bathtub', t Washer I "
Shower Water Heater .._�.
a ---- --p---- r
Kitchen Sink II Water Softner. - I j
Dispose I Wet Bar '
Dishwas er Sump Pump ',
t.
Sillcoc sem• ------ Misc. (List) -- -
Floor D ains
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1. F xture Fee The minimum permit fee is $30.00 $ , (
C.1 pute number of fixtures x $5/fixture
x $3/fixture reset
I I -
2. State Surcharge $ .50
/ 3. Pcstage & Handling (Only mail-in applications) $ 1.50 .
n4. TfTAL PERMIT FEE (add lines 1-3 above) $ 5A,eyo
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The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit,
agrees 'i 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.
Signature of Applicant: /C�/ 1 i:0- S .i (� ?Date: /0-73 ,, )