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, .�+ <br /> R�CEIVED <br /> JAN L � 2004 <br /> G�r Y ur�RONO <br /> CITY OF ORONO APPLICATION FOR PLLJMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, I�IN 55323 <br /> GENER�I, Pi lF'OR�Lr�,TION <br /> 1. You may apply for plumbing permits by mail or in person at the City o�ces. <br /> 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.. 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 dwellin;. <br /> 4. When any new construction or remodeling is involved, a separate buildina permit must be obtained. <br /> 5. All work must be done in accordance wi[h the Sta[e Code requirements. � <br /> 6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. <br /> Instructions Complete all items on this application. Compute the pemut fee. Si�n and date <br /> the certification. INCOI�LETE APPLICATIONS `VILL NOT BE PROCESSED. If you have <br /> questions, call 249-4600. <br /> Please check one: New Addition � Repair Replace <br /> Residential Commercial <br /> JOB SITE• � � `� � i)� Zip: ,�� <br /> Owner's i�'ame: — � Telephone Number: r�J� �/�,�,3C�,J3 <br /> I�Iaili.n� Address: City: Zip: <br /> Contractor's l�ame:���,���%;,� �e,��, �;,,-�1�,����� Telephone I�umber: �����;J���%�-' <br /> l�lailing Address: ;���ov ��-f��s��'��' f�'��ty: �r,�,��, Zip: .�3�i;, <br /> PLUNIBING FIXTURE SCHEDULE ' <br /> FIXTURE BS�1T 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> . Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Nlisc (list) <br /> �./'✓`/�/ll� l�'��/ Gr/�l� �� ����/�'% ,j�l�:���'.�=� -1"��',� fi%'�,' <br /> �!%!7� �/��i`'s�L��"��"��ll� (,��//�l�, <br /> ✓ <br /> � <br />