HomeMy WebLinkAbout1992-004239 - plumbing rr-*
PERMIT
CITY OF ORONO f PERMIT TYPE: PLUMBING
1335 Brown Rd. South • P.O. Box 66 Permit Number: 004239
Crystal Bay, Minnesota 55323 Date Issued: 03/31/92
(612) 473-7357
SITE ADDRESS:
265 ORONO ORCHARD RD S
LSV
P. I .N. : 02-117-23-22-0105
DESCRIPTION:
S FIXTURES
Plumbing Permit Type FIXTURE:
Plumbing Work Type RENOVATE/REMODEL
2 WATER CLOSET/RI 1 LAVATORY/RI 1 UNDEFINED
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge 1-5p
Total Fee $30 .50 1313300000
01 GEN 30.00
1222200000
01 GEN .50
CHECK _TL���jj X53.00
iiECE1Pt-THANK YOU
#238270 0001 R01 T07:01
03/31,192
CONTRACTOR: - Applicant - OWNER:
OLSON LARRY 24725920 ORONO GOLF CLUB
WARNER LA 266 ORONO ORCHARD RD S
3232
MOUND MN 55364 ORONO MN 55391
(612) 472-5920
THEUNDERSIGNED
t .CE;< I tNriFre=EE* REQUESTS PERMISSION TO MAKE It'� �i��l
SPECIFIED AND AGREESfi00 ALL WOK I� STIdT I�.
M l;iOVEi•MEN
Vi
ORONO ORDINANCES ,1 AND ;jr- _ P MINN _; _ A i=
UILI NG CODE Rt"i.A IIr,- r.P.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 ( 1335 So Brown Rd ) 11
Crystal Bay, MN 55323
General Instructions
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below.
Permit cards will be sent by return mail the same day the application is received.
3. Permits are not valid until you receive a permit card.
4. Work must not begin unless the permit card is available on the job site.
5. Plumbing permits may be issued to licensed contractors only.
6. When any new construction or remodeling is involved, a separate building permit must
be obtained.
7. All work must be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
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JOB SITE ADDRESS: , `"
Occupancy Type: Residential ( ___— Commercial
OWNER'S NAME: nr"(7. o X- M- L-:- Phone No. :
Mailing Address: go,'„ -? -1 City: r ;T,. t /3‘_
CONTRACTOR'S NAME: 2-4-k-,7 (0( Se.---,--- Bus. No. :
Mailing Address: 3D-�a v✓ r�r ii_el,-• c,.✓ City: i Zip: /j`c-=iZ.-<j
Master Plumber' s State License No. : -
_iG 7 `$ City Cert. No. :
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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
-4T -
Water Closet a Sewer Ejector ---
Lavatory Laundry Tray
Bathtub Washer
Shower I L Water Heater
Kitchen Sink - ----- Water Softner
Disposal
jI _ Wet Bar
j
Dishwasher l Sump Pump
Sillcocks Misc. (List)
Floor Drains U r!w4„l r
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1. Fixture Fee The minimum permit fee is $30 .00 $
Compute number of fixtures / x $8/fixture °
1 x $5/fixture reset
2. State Surcharge $ .50
3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ ; 6? , .(:)
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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.
Signature of Applicant: 4-2„,,z, W� Date: ::3
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