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. . �5 �� � <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> }�ox 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. Permit 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 items on this application. Compute the permit fee. Sign and date <br /> the certification. INC01�9?LETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair � Replace <br /> Residential Commercial � <br /> JOB SI'TE: �c� � 7 �/������'�� �� Zip: S�_.s'`�� <br /> Owner's Name: ��liL L�'Sd�/ Telephone Number: ��7�—y'/Z� <br /> MailingAddress: 'G' ���G�/�„�'F �'l�-� City:.S;�',1!��� f'��I Zip: ,ss',�i'L <br /> Contractrrr'sName: C�'SSU�/ �'f��E� �MT�t/�- TelephoneNumber: <br /> MailingA ddress: li��l; sl-�c�.����^� !�� #3,/ City:�'��/'f.��� Zip: �s-����i <br /> PLUMBING �IXTURE SCHEDULE <br /> FIXTURt: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet ?�• Floor Drains <br /> Lavatory � x Sewer Ejector <br /> Bathtub � Laundry Tray <br /> Shower � Washer <br /> Kitchen Sink � Water Heater � <br /> . <br /> Disposal Water Softener <br /> Dishw��sher � Wet Bar <br /> Sillcocks Misc (list) <br />