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08�/2004 09:20 FA% 763 591 6071 IVERSON C�00B <br /> y ,�I-0 7�5� 2 ''' y <br /> � �a•�� <br /> CITY OF ORONO APPLICATION FOR PLUII�IBING PERMIT <br /> Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, MN 55323 <br /> GENERA.j,,1NFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. ' <br /> 2. Permit cards will bp sent by repun mail after a review is completed. PERMITS ARE NOT VALID UNTIL ' <br /> YOU RECEIVE A PERMTf, WORK MLrST NOT BEG N UNTIL E PRRMTT C'AR IS POS'i`Fn nrr <br /> THE JOB SIT'E. <br /> 3. Plumbing permits may be issued ONLY to licenscd plumbing contractors and to propeny owners residing <br /> in the dwelling. <br /> 4. When any new con�tr�ction or rcmodeling is involved, a separate building permit must be obtained. • <br /> 5. All work must be done in accordancc with the State Code requiremeats. <br /> 6. All work must be inspected and air tested before it is covered. CaU (952} 249-4600.. 24-hour notico <br /> required. . <br /> Insttvctions Complete all items on this application. Compute the permiit fee. Sign and date the <br /> certification. INCOMPLETE APPLICATIONS WILL NOT BE PRO�ESSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: New Addition Repair Replace <br /> Residential Commercial <br /> JOB STT'E: �(� �tn.�S� �t Zip: � <br /> Owner's Name: ok� T-r.,.�.�c< Telephone Number: <br /> Ma�ling Address• City: Zip: <br /> Contraetor'sName: �C•► P vr.,.b+�� TelephoneNumber: �J1'Z- yyy-535% . <br /> , <br /> Mailing Address• Zt/�S �i�-ri,r��s � City: .,1,,� Zip: �S��f <br /> PLUMBINC=Fi�'iiRF c�r��ULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> � TYPE FL FL TYPE FL FL• <br /> Water Closet � Floor Drains � <br /> � Lavato Sewer E'ector ' <br /> Bathtub La Tra � • <br /> Shower Washer � <br /> Ki[chea Sink � Water Heater <br /> Dis sal / Water Sottetur <br /> . <br /> Disbwasher Wet Bar <br /> Sillcocks Misc list) <br />