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e � <br /> C1TY OF OIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> Box 66 (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 <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 /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing <br /> in the dwelling. <br /> 4. When any new construction or rcmodeling 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 /> Instructioi��� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: ✓ New Addition Repair Replace <br /> �Residential Commercial <br /> JOB SITE: Zip: <br /> Owner's Name: ��� a',�/�'lf�,v,� Telephone Number: <br /> MailingAddress: � � G�o /.3ca��.,r oP City: �.�-�� Zip: �s.3'y/ <br /> Contractor'sName:,��/���� ���o�,�G- TelephoneNumber: �7/— a-��� <br /> MailingAddress: �9Dy L✓,�..%v<�-.r�� ,l-/�r City: C�u�,�� Zip: s�35�i <br /> PLUMBING FIXTURE SCHEDULE � <br /> FIXTURt: 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 /> Dishw��sher Wet Bar <br /> Siilcocks Misc (list) <br />