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r <br />L <br />CITY OF ORONO APPLICATION FOR PLUMBING PERMIT <br />Box 66 (1335 So Brown Rd) a p 3 <br />Crystal Bay, MN 55323 a O <br />ffffffffffftflflRlfffffff lfffflffffflf rffffffffff!lfrfffffffff rffflfffleeff <br />osmaral Instractiaas <br />1. You say apply for plumbing permits by mail or in person at the City offices. <br />2. Nailed in applications are subject to the postage and handling lees shorn below. <br />Permit cards will be sent by return mail the same day the application is received. <br />3. Permits are mot valid until yoe receive s p& -wit card. <br />4. Mork 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 now construction or remodeling is involved, a separate building permit must <br />be obtained. <br />7. All work must be done in accordance with state Cods requirements. <br />B. All work must be inspected before it is covered. Call 473-7357. <br />24 boar Motion regnired. <br />fff lffffff Rffffflfffffflffffff /ff U rff Nlfff! f*a1fllffff/ere rreereee.ee.e <br />JOS SITE AMRESS r i <br />Occupancy Type: esidential Cosmerc a <br />OMREE'S RAMS Lax Phone No.: <br />Mailing Addreses -_ City: <br />CONTRACTOR IS RJMDar Bus. No.s <br />Mailing Address: X21 City: 2 p: <br />Master Plumber's State License No.: City Cert. No.t <br />fffffffffefrffffflffflfrrlfrffffflfflffffff far -FT--a lit <br />PLUMEIIIG FIXTURE SCHEDULE <br />(Show number of fixtures of each type on each floor) <br />FIXTURE TYPE BSMT IST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 18T FLOOR 21D FLOOR OTEBR <br />Mater Closet <br />Lavatory <br />Bathtub <br />ihowr <br />Kitchen Bink <br />Disposal <br />Dishwasher <br />Sillcocks <br />Floor Drains <br />----------- <br />rfffffffffffffffrrfrffffffffffffrffffflfffff!lfffflffffffrfffrlfffffffffffr <br />1. Fixture Fas The minimum permit fee is $30.00 $ <br />Compute number of fixtures _ x $5/fixture <br />x $3/fixture reset <br />2. State Surcharge $ .50 <br />3. Postage a Handling (Only sail -in applications) $ 1.50 <br />4. TOTAL PERMIT FEE (add lines 1-3 above) $ <br />fffflrfffffflff rrffffffffrrerrlffffffffff rffrrfffff•lfffffflfff rAf lfffff ff <br />The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, <br />agrees 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 />�j"7 <br />k 6 -In <br />Signature of Applicant:: i/ !_i w- �La ��� 9 Dater <br />• <br />J <br />J <br />J <br />Sewer Ejector <br />Laundry Tray <br />--^- <br />- <br />Washer <br />Mater seater <br />-- <br />_��__ <br />----- <br />Mater eoftner <br />(/ <br />Met Bar <br />Sump Pump <br />----- - - <br />------------- <br />Mise. (Llai) <br />- --- <br />- <br />------- <br />----------- <br />rfffffffffffffffrrfrffffffffffffrffffflfffff!lfffflffffffrfffrlfffffffffffr <br />1. Fixture Fas The minimum permit fee is $30.00 $ <br />Compute number of fixtures _ x $5/fixture <br />x $3/fixture reset <br />2. State Surcharge $ .50 <br />3. Postage a Handling (Only sail -in applications) $ 1.50 <br />4. TOTAL PERMIT FEE (add lines 1-3 above) $ <br />fffflrfffffflff rrffffffffrrerrlffffffffff rffrrfffff•lfffffflfff rAf lfffff ff <br />The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, <br />agrees 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 />�j"7 <br />k 6 -In <br />Signature of Applicant:: i/ !_i w- �La ��� 9 Dater <br />• <br />J <br />J <br />J <br />