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Permits - Permit# 91-06 - 2429 Black Lake Road - 1/1/1991CITY OF SPRING PARK P. O, BOX 452 APPLICATION FOR PLUMBING SPRING PARK, MN 55384 P E R M I T General Informtion 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Mailed in application 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 until the permit card is posted on the job alto. S. Plumbing permits may be issued to state -licensed plumbers or to homeowner/occupants who intend to actually perform their own work in their home. 1 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 the State Building Code Requirements. S. All work must be.inspected before it is covered. Call for inspections 24 hours in advance 1 (473-7357). Instructions. Complete all items on this application. Compute the permit fee. Sign and date the l certification. Incomplete applications will not be processed. If you have any questions, call 473-7357. 1 WALK-IN PERMITS --Apply at City office., 4349 Warren Ave. MAIL -IN PERMITS --Enclose Fee --Mail to: P. 0. Box 452, Spring Park, MN 55384 JOB SITE ADDRESS24Z9 BC.A-Ly__ L-K P_A Occupancy Type: �- Residential Commercial Work to be Performed by: Licensed Contractor __4 Owner/Occupant OWNER'S MAKE Mailing Addre PLUMBER'S COMPANY NAME VtoM (; a:-,;, Business No. Mailing Address Master Plumber's State License No. City Cert. No. PLUMBING FIXTURE SCHEDULE (Show Number of Fixtures of Each Type on Each Floor) FIXTURE TYPE BSss7MT. lst Floor 2nd Floor Other Floors FIXTURE TYPE SSF1T. lat Floor 2nd Floor Other Floo: Water Closet G. L a u n d ry- is-4-y— Lavatory Washer Bathtub Water Heater I Shover Water Softner Kitchen Sink Misc. Fixtures: L st) Disposal Dishwasher -- Wet Bar Sillcocks Floor Drains L Sump PumpI FIXTURES Sewer 91 actor PERMIT FEE CALCULATION 1. Fixture Fee. The minimum permit.fee is $25.00. Compute number of fixtures x $4/fixture 2. State Surcharge $ .50 3. Postage and Handling (Only for Mail -in applications) $ 1.50 4. TOTAL Permit Fee (Add lines 1-3 above) ,00 Tho 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 Minnesota seace Bull di Code, nd certifies that all statements made on this application are complete, true and rre © W.S. BOOTH, BAKER BLDG.. NIPLS. 55402 SECURITY BLANK BOOK, 366 WACOUTA, ST. PAUL 55101 �a.etChg�a-�0o 50.00 . Matt of ;fflin1100ta, County of HENNEPIN PLUMBING 110. '91 �- CITY of SPRING PARK Office of BUILDING INSPECTOR Permit IN CONSIDERATION OF The statements made by GARY & LYNN CHRISTENSEN is their _-application therefor duly filed in this office, which application is hereby made apart hereof, PERMISSION IS HEREBY GRANTED To said Gary & Lynn Christensen as owner tit Install 12Plinhin9 fjXtiirag upon that tract of land described as follows: Lot—_ —Block—_--; plat or addition - Address. 2429 Black Lake Road 19-117-23-12-0018 which tract is of the size and area specified in said application. This permit is granted upon the express conditions that said owner and 1XIS. contractors, agents, workers and employees, shall comply in all respects with the ordinances of the ---------------------------------------------- City __ —of ri ng Park - Given under the hand of the B o l I d i nQ 105 e r I o r of said it y and its corporate seal and attested by its__C.lerk this— 24th day of June 19�1— Attest: Clerk C MjW10- I a . �. ROTOR 0. 4 FITU , nopm s: