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JUL.28.2004 1�61PM CITY OF ANOKA COMMUNITY DEU N0.551 P.2 <br /> ' >3 I I � �3 I I O��C � <br /> C�TY OF OR4N0 APPLICATION FOR PLUMB�NQ P�RMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,MN 553Z3 <br /> �EIVF;[tAL 1N1�QRMATIOIV <br /> 1, You may apply for plumbing permits by rr�'I or ia perso�n at the C1ty oiftces. <br /> 2. Permit cards w111 be sent by return mail after a re�iew is completed. 1'FRM['i'S ARE NOT VAi,ID [JIv17L.YOU <br /> RECE1rlE A PERM1'f. WtaRK MUST NOT 8�(3IN l�l�Tlyt'fHE PERMI'f CARD_IS ST�D ON THE JOS <br /> � <br /> 3. F'lumbing permits may be issued ONLY to licensed plumbi�g co�hactors and i�o pro�perty �rs restding in the <br /> d�velling. <br /> 4. Wh�n any new constr�cEion or rre�model'ing is invoivsd,a separaYe building pernut must 1�obtalned. <br /> 5. Al(winrk musi be do�e in accordance wlth the State Code reqNirements. <br /> 6. All work must be inspected sad air tested before it is mvered. Cali (952) 249-4600. 24-hour notice required. <br /> Ipstntctirnts C�mplete all items oa this app�ication. Compute fhe perm�t Fee. Sign and date the <br /> certiticat�oa. rNCQMPLETE APPLICAT"�ONS W[�.L NOT BE PROCL'SSED. If �►ou have questions, <br /> call(952) 249-h8Q0. <br /> Please check one: ✓New A�dition Repair Replace <br /> �`1� i . � �1��Residential Comme.rcial <br /> (� �,,i� C„��" P� <br /> J�B S . � �� 6 � v s:�.�.� G> Zip: <br /> Owner's Name: Teleph�one Number: <br /> Mail�ng Addres • City: Zip: � v y,��5 — <br /> Contracto�'s Nam�: /Z. � .� Tele hon Number: G�1- <br /> Mai�ing Address. ' �ty: ��v Zip: ��'a/� <br /> C�'�' �a� <br /> �LUMB�NG FI�CTEIRE SCHEDiJLE <br /> FQ�TUE�E SSNLT t ST 2ND OTF�R �DZTURE 8SM 1 S 2ND OThIER <br /> TYPE FL FL 1YPC T T Fl. � <br /> t�I. <br /> Water Closet Floor Drains <br /> L,$� Sewer C ector <br /> Bathtub l.aun Tra <br /> Shower Washer <br /> Idtchen Sink Water He�fer <br /> Dis 1 VVaEer Softener <br /> Dishwasher Wet B$�' <br /> g�� Misc ist <br /> .��=��'�- ��_.�' � �� <br /> ,_. � __ _ . Y►� �f a��53�30 <br /> � L �,. �� �r� a���7 35� <br /> _. _._ � <br /> _ __� __u.___.___ .__ __--- ------- - <br /> �o� �4����'�'�'� <br /> � 2 Pz � �-�� �� <br />