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. R <br /> s i <br /> �r <br /> CITY OF UIt.ONO APPLICATION F ,i �`TI�1G P�RMIT <br /> �ox 66 (27�0 Kelley Parkway) , +�c�c�-i � <br /> Crystal Say, MN 55323 �+�� � � <br /> _,� ,,}; i�Ro�o <br /> GENERAL INFORMATION ° <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POST�D ON THE JOB SITE. <br /> 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing <br /> in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with the State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required. <br /> Instructioii,� Co:nplete all items on this application. Compute the permit_fee. Sign and date <br /> the certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair Replace <br /> X Residential Commercial <br /> ,,—; , � <br /> ' JOB SIT�;: �,���lvU ?'��U.��Y Uc:�� 1=%,�� � ��}�;T��_. `�_c:...� � f�i N Zip: J�v�`� <br /> z <br /> Owner's I�1ame: '��,-r �V�+�c �� , Tele hone Number: ����,-- I`�� I <br /> Mailing Address: ���L��qN WATER CONDlTI � Zip: <br /> Contractc►r'sName: 6030 CULLlGAN WAY TelephoneNumber: <br /> MailingA ddress: MINNET()NKA, MN 55345 City: Zip: <br /> �612) 933-7200 • <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener � <br /> Dishwt�sher Wet Bar <br /> ; Sillcocks Misc (list) <br /> ; <br /> �� 9 <br /> �0 �b'� <br />