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esn . -- �� ......a.�� �r �v.�.+ � .vciv� irv.�tcv <br /> �. �I <br /> { ; <br /> ���l <br /> ;�„ <br /> CITY UF URONO APPLICATIpN FOR PLUMBING PI�R.MIT <br /> uux fib (2750 Kelfey Parkway) <br /> CrY�tal Btty, MN 3�323 <br /> 1• Ycw mdY upPiy for plu�bin� pertruts by rtr�il or In perscxi at We City offices. <br /> 2. Permit euds will ba sent by return mt�il afler a c�view ta completed, PBRMITS ARE NOT VALID <br /> UN'CIL YQU RBC61Vi's h PFiRM1T. WO�� MUS7',j�0'C B�GIN UN'�'j .TI3 . p�R►yIT G�RD S <br /> AQ�'TLQ 413.Tt3$�o� sr•r� <br /> 3, Plu�nbin�pcumits may bc issucd OiV�.Y to liccneod plumbing contractore a�id to�roporly ownera residinQ <br /> !n the dw�lling. <br /> 4. Whsn u�y now con�truction or rcmodeling ia invotved, a sepurate twildin�permit m.ust bc obtainod. <br /> '�. All wnrk tnuat be dune in�c:cordance with the State Caie reqoirettu�ntA. <br /> b, AU wark an,rt be in8pectocl and air tastod before it 1�covered, Ca1147�-7357. Z4-hour aecn;a n�quircd. <br /> ���,: Co:npkce all items on this application, Compute the permit fee. Sigt�and date <br /> C�lC 4CI'1��Ci1t1U11. INCOMPLET� APPLICA7'IONS W1LL NOT BE PItOCESSED. If you have <br /> qucatioris, ca11473-73S7, <br /> P1eNsc c�eck onc: _,� New Addirion Rcpalc ,_,_ Replacc <br /> �_ Residential Corrun�rcial <br /> JQB �1'I�E: ,� C' c �,��r;,�,��, :�� Z1(I. <br /> Owner'�Name: Z�� -h � Teteptwnc Number: Y ii-�`%v c�` <br /> Mailtng Acidre�se:f�_ N��i�1�1 L�Q LE" /3/vt:�� City: �;-,,f'<< �,�d Zip: �;S�/�{�' <br /> Caqtr�ac�ur'sName�77��� �.�,��. yG,y,,�� Tel�hone wnbcr: � �-� ����- <br /> M�ilin�Addret�: �/��Or��i cc � �� . G`jtY� ' '� ' �� �P�_�S���l�' <br /> m.�n�r��tC F�XTV�Ai�..�S�SF�� <br /> FIX'CURt3 BSMT 15T 2ND OTHER FIXTURE 85MT 1ST 2ND �THER <br /> TYPE FL FL TYPB FL FL <br /> Water Clr�et Floar Draitac <br /> Lavatory 5ewdr Ejector <br /> Bathtuh Lundry'Cray <br /> .�._ <br /> Shnwet W�her � <br /> kitc.hcn Sink Wuer Eieater <br /> �� <br /> Di4�osc�t W�tec Sof'tanar' �� <br /> Dlshw•ather Wct Bar <br /> si�icock� Miac illat) <br /> __...__... <br />