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- - - - - - - - 40.'42.�'72 1G�31 - - - - TIIC CIT'�' Or Of:01J0 G12 �4^3 ^�G^ �OG - - -.
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<br /> CI�'Y OB ORO�iO APPLICAZ'ION FOR PLUI�lBING pSRM3T ,`�,,,;�;,
<br /> Bax 66 (1335 So �rown Rd) ���
<br /> Cr�►s�al F�ay, MN 55323 :;",�;�
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<br /> 1. You may nppiy !or piusnbing por[nite by mni.l or in pere4n ��. tha Citiy af��cea. � 9 �
<br /> 2. Maii�d in appiica�tierr ero subjeat bo the podtwge and hpndiinq lees shown below. • � ° "'�
<br /> g�rsnit oarQr Wi i i bo sent by return mAi.l the eame day the App�icakf.Qa is receivea. � ����
<br /> 3. F�z�itr ss� not valid utttii yptt raa�iv� a peraiit card. `i`';��`'
<br /> 4. lfork ma�! noti b�gin unl�es tih• pRrmit oard i� av�ilable on tho job gite. ~ '
<br /> S. Plumbinq pwrmit■ may b� i��u�d to liaansed oos�tractot• o11Iy.
<br /> 6. �hen eny new conscruaeion ox remodeling ie involved, • ewp�rate buildinq pe=•mit must � .�;;��
<br /> bo Cblw�aad. � ''>f�`"#
<br /> 7. All w�ork must ?�� don• in aaanrslarta� wit1� Btet� Cod�s teCYu1L'ementi6. �� :�r,�
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<br /> 8. 1►11 Mozk inueL �+a xnepecCsd R���ore !.t i.e cov�red. Cali A73-73�7.
<br /> �4 hour rtotioo retjnired. '�'
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<br /> �4� si�g �nnx�ss: /��� �"� � �X/< <���C�� � �����'���( 1'-�?_, �. �
<br /> Occu�anoy Ty�e t L. Residentii�3" Commera al i,���
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<br /> 09PNS1�!�S Nl�Ml�: �--� %"� C�;'_ � L� �� t ? Phor�e No. s � C
<br /> Mailing Address= ' � / '� u
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<br /> COAITRACTOR'19 NAMI!t �ir._ (�r_ �: -�/, �-�;����+�••� �!' Bu�.No. s .��� %- i� �',� �
<br /> Mailing AdQress s � -1 • - • -<% ,, -. .!.;, City s �r�! . ,,.�,i zip: �<'-� -% -� �
<br /> _ i /.�/ ,_ � - � �
<br /> Master Plumber's state L cense 1vo. : � -S��//- //i;; _ Cit� Cer . No. : � ��•�:�s
<br /> krr�*�+e*�tvtA*�err*�t�t��t*****,t�e�*�e��t**,�***** +t* *,t**ww�t�*rr� *+r�r**R*�****',�'�"*�*
<br /> PLUMBIIQ(i FIXTURB SCHEDULB r
<br /> (show +number o� tixturesc of each type on each flaor)
<br /> FIXTURE TYPS BBMT 18T FLOOTt 2Nn 1�'LnbR OTtiER FIXTURE TYFE 13`SM�' 7$'�' 1�T�44R ?.ND F'LOOR OTHER
<br /> __��_.._..��..� .._ �...a_��_ ��y_........ ���_.. ......________ ___ __�_...._.. __���_.. ��.... '
<br /> W�t�r Glbl�et ,�` �` S�wer S jeator ^ T'
<br /> �'�� � - -
<br /> .._.....�..�....�.... _���_�_ .._� �..�.. __�---�----- -- --�---� .. � � ..�_..
<br /> � .. - - - � ' �
<br /> I��tV�toxy " �� Laundry Tray ` ' =
<br /> ------------- - - --- .._� ✓.•��_ _�_� ��_�..-�---- -��- --•.^--- �����..� ��.._ �-�
<br /> 8athtub------ ----- ------- -��_�_ _�.... WaeherYY_-�-- �- --�-- ��___�- _�-_ �;'
<br /> �
<br /> - - - - ,:���
<br /> 8hower-�---- -�-- -_�-_�- -�---- ------ water_Heatier � ..�._--- ------- --^_ :
<br /> - �- - - <
<br /> Kitich�n Sink �f Water Softner
<br /> __-----�---__ _i..- ----/-�--- -------- ----- .._..____�...._ �_ _..._..-- �------- ----
<br /> Dispooal ,' � wet Bar `
<br /> ------------- ----- -�__ _.—__-- _�--_ ----------- -_.._ �..,�___ __...._..�-- -�--- ����►
<br /> Aitihw�sh�lr � w�_ 8ump Pump ,.
<br /> ---�_�..__....�_ _�.... ..... �.�. �� --�-� ----------- ...._ �.....__� _�.._----- --�--
<br /> siliaoaks--- �- -�.__ �._._�_ ^�_` Misc`rtLi�t) -- -_..�_.. ---........_ ..--- y
<br /> - - - - - - - - - ,�«
<br /> 1�1oor Drain■ I �
<br /> ------------- ----- -------- --------- ------ --__--_�_-_�_- ---- -------- ----�__..�_ _.,�«.�
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<br /> 1. Fiztura 1�� The minimum �armi �'ee is 530.00 $ o����, � _ � `'' '
<br /> Cvmputq number of fixtures .n, x $8/tixLurd ��:��
<br /> �c $5�fixture x�set �'�;_��
<br /> 2. atste 8uraharge $ •54
<br /> 3. Fostage � Hanaling (OnXy md�l-in a�plications) $ 1. 50
<br /> A. TOT]1L PBRM2� F8� (a�d lines 1T3 above) $ o� ��� ksa
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<br /> The und�r�ignrd h�r.by appliwr tu tha Gity af Ozdno �or iaauance of e Plumbina
<br /> aqrees to 40 •11 a4rk irf •triat accerQanco wiCh Cha vsd�.ra�oes af the Ci'
<br /> roqul�tion• of the 5tato af Mi�n�soCa, end cert� �i.es that a11 statemonte
<br /> e��plio�Cion •re aomplet�� �rua nna oorrmet.
<br /> ��/ ���i �, , �
<br /> � ��G ,'",�,, � �� ��4�!' `�
<br /> �ignature of A�:pl.icant.s �;,i � __ _�— '
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