Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
� � <br /> E'�»:�'_ <br /> � <br /> t <br /> �17'Y C)F ORONO APPLIGATIQN FpR PI,UMg1AIG.pE�T <br /> Bax 66 {2'750 Keiley Parkwaya <br /> Crystal Bay, MN 55323 <br /> GENER4L INFORMATIQN . <br /> 1. You may appty for plumhing permits by m�il or im person at ihe City o�ces. <br /> Z• Permit cards will be sent by return mail after a review is completcd. PERMITS ARE NC1T VALID UNTIL <br /> YOU RECENE A pERMI'T. y�rpR�MUST N T$EGIN UNTIL THE PfiRMIT CARD IS P03TED ON <br /> THE JOB SITE. <br /> �• Plumbing permits may be issued QNLY ta licensed plumbing contractors and to ro e <br /> in the dwelling. P P �y owners residing <br /> '�• When any new canstruction or remodeling is involved, a separate building permit must be obtained. <br /> �. All work must be d�ne in accordance with the State Code requirements. <br /> 6. AtI work must be inspected and air tested before it is cavered. CaII (9S2) 249-46f30. 24-hour norice <br /> required. <br /> Instructions Compiete ail items on this application. Compute the permit fee, Sign and date the <br /> certificatian. INCOMPLETE A.PpLICA,TI�NS WTLL NQT BE PROCESSED. If you have <br /> questions, call {9S2) 249-4604, <br /> Please check one: � N��, Addition <br /> Repair Replace <br /> Residentiai Commerciat <br /> JOB SITE: �/p �,`�� <br /> { Zip: <br /> Owner's Name. --.10�„ � ��rt�cc F{o,,,.�3 Telephone Nurnber: <br /> lbiailing Address: City: Z� . <br /> Contractor's Name: �ha�:, ('Iv�•-.l,t,�; p. <br /> �r =►��_Telephone Number: �rZ-�;�y-;3�j <br /> Ilriailing Address:�_�-����_ Caty: � ri,,,4,-�- <br /> _�_`�____`^ ZiP� Sy-��t / <br /> PLUMBING FIXTURE SCHEDULE <br /> �IXTURE BSMT 1ST 2ND OTHER FIXTURE <br /> TYpE FL F� BSMT 1 ST 2ND OTH�R <br /> TYPE FL FL <br /> Water Closet � Z Floor Drains � <br /> Lavato � Sewer E'ector <br /> Bathtutr 1 � Laun Tra <br /> Shower t'Vasher � <br /> Kitchen Sink � Water Heater � � <br /> Dis saE � Water Softener <br /> Dishwasher Wet Bar ( � <br /> SilIcacl:s Mis� tist} <br /> �� <br />