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♦ <br /> CITY OF OI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> 1toY 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. Pemut 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 remodeling 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 item5 on this application. Compute the permit fee. Sign and date <br /> the certificatiaii. INCO:��PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition `"" Repair ` Replace <br /> r :-���Residential Commercial <br /> ;-> <br /> JOB SIT�;: � � � �� � �� rx.c� �/�� '�'� U �:� Zip: ':�5 3��J <br /> Owner's l�tame: I ,, Telephone Number: ��'.��. 7 t�4 � <br /> Mailing Address: � ��,�.�� City: L�'r�>v� Zip: ���-��� � <br /> Contractor'sName: �.a,,-.-y �`i�.,�., �� �, TelephoneNumber: y 7 � ,. �;-T� <br /> MailingA ddress: :� �� 3 ��. �,<ja�� � �.�., � City: ,�J 7�v�vi_> Zip: �ti- ���y <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet l Floor Drains <br /> Lavatory f Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower � Washer <br /> Kitchen Sink ► Water Heater <br /> Disposal 1 Water Softener <br /> Dishw�sher + Wet Bar <br /> a � <br /> Sillcocks � Misc (list) <br />