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CITY OF ORONO APPLICATION POS PLUM8I116 PSRMIT <br />Box 66 (1335 So Brown Rd) ' <br />Crystal Say, MN 55323 <br />tffR•RRfRfffRR/RRfRRRttff}fRf•f•ffff•••}}•fffffRfRlRRffff•ff••••f•ffftR•1Rf <br />General lmstreetiaas ' <br />1. You slay apply for plumbing permits by mail or in parson at the City offices. <br />2. Mailed in applications are subject to the postage and handling fess shown below. <br />Permit cards will be sent by return mail the same day the application is received. <br />3. Permits era not valid mat -ii you receive a permit cera. <br />1. Work must not begin unless the permit card is available on the job site. <br />5. Plumbing permits may be issued to licensed contractors only. <br />6. When any new construction or remodeling is involved, a separate building permit must <br />be obtained. <br />7. All work must be done in accordance with stats Cods requirements. <br />S. All work must be inspected before it to covered. Call 473-7357. <br />26 bar notice repaired.. <br />•tf Rtffffffff•f•f•ff••••fffRRRR•fi R•Ri RRRR 1tRf•ff• Nftt•t•• H•fRR• NRRRRAfA <br />JOB SITE ADOSSSS: A, _k <br />Occupancy Types Residential Commercial <br />OMNS#'S XAMs + N' Phone No. s �/ ) S USG 7 <br />Mailing Address: Citys J�.1��e� <br />I <br />OONTSACTOR'e MANX s �,n�, t7�`n,.b,•��ry�u�i�a Bus. No.: 93K -;c,33 <br />Mailing Address: ity: Zip: <br />Master Plumber's State L cense No-: 7 City Cert. No.: <br />ff•ftf tt••RRtf ifffflRf Lf tfffRffttffff•f• • • 4••AAARAfRfft•ftfR t�f� <br />PLUMBING FIxTURS SCSCDULE <br />(Show number of fixtures of each type on each floor) <br />►IXTVRE TYPE SSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 211D FLOOR OTHER <br />----------------------- A ----- ---------------------------------------------------- <br />Water <br />-----Nater Closet Sewer Ejector r'�- s <br />------------- ---- --�--- ---- ---------------------------1 --- ---- <br />Lavatory 7 LaundryTra <br />--r --------------------------------- -------------- ----- <br />Bathtub ) Washer <br />--------------------- ---- ---------------------- <br />Shower <br />-------- ----- <br />Show r ' Nater Boater <br />__ _ _«- ------------------------ ------------------------- <br />Kitchen <br />--- --------- ----- <br />Kitchen Sink I Nater Softner <br />-- -" -' ------- ------ ------------- ---- --- --------------------- <br />Disposal <br />--- -------- ----- <br />Disposal ----- Not Bar <br />------------- ---- --�-- --«- --- --- -- -_�- ---_ « ---- <br />Dishwasher ' - - - - sump Pump - - - - - - -- - <br />-------- ------ ------------- ---- ---------------- ----- <br />Sillcocks ------ Mine. (List) <br />------------- ----- --1--- -- ----- <br />----- ------ ---- ---- ---------------- <br />Floor Drains- �- -- <br />•t••Rfflff••••f•••RARRffff•ff•••f••f•f}tA►f•ftRf •Rff AfRRf••ftttffffffff•RRe <br />1. Fixture Fee The minimum permit fee is $30.00 $ <br />Compute number of fixtures x S5/fixture <br />x S3/fixture reset <br />2. State Surcharge $ .50 <br />3. Postage i candling (Only mail -in applications) $ 1.50 <br />1. TOTAL PSSMIT FM (add lines 1-3 above) $ <br />fff•ff••}•RRtRfA•}RRRtRtf •ftfftfffffflfR•ftfftf •f ••tt�•f ••ffff•f A•►t•f •f•f <br />The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, <br />egress to do all work in strict accordance with the ordinances of the City and the <br />regulations of the State of Minnesota, and certifies that all statements made on this <br />application are complete, true and correct. <br />Signature of Applicant: Dates <br />Won <br />1 <br />