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Mar041311:37a Preferred Plum ing, Inc. 952-447-5764 p.2
<br /> c • FOIi C1TY i3SE ONiLY
<br /> �0�'�� City of rono
<br /> O .�'�� P.O.Dox I � Date Received: Permic#
<br /> •,R,,., '111S 2750 Keil Purl�way
<br /> � '�,'7.;,;C � Crystal Bu ,MN 55323 Approved By: Amount$:
<br /> ��, ����, . ,�'
<br /> \i ,���;�,;j.�� (A52)249- 6U0-Main ,
<br /> s,�ran�� (952)249 616�Fax
<br /> ��
<br /> �� CITY OF (JRONO—PLUMBING PERMIT
<br /> (All.Commerci 1 Permits Must be Approved by the State Arior to City Approval)
<br /> � ��5.&t t.1/���y-a�=:61be.�$a.==o��/�;�'�,�)/�'��! � 9�a��s l�rsrcm��a �s . zc�4'
<br /> GBNERAL INFOR TION
<br /> 1. You may apply r plumbing permits by mail or in person at the City offices. Appiications wiU be
<br /> reviewed and a rmil will be issued within two working days.
<br /> 2. Permit cards wil be sent by return mail after u review is completed. PERMITS ARE NOT
<br /> VAL[D UNTIL OU RECEIVE A P�RMIT. WORK MUS7'NOT BEG1N UNTIL THE
<br /> PERMIT CA 1S POS'd'ED ON T �G JOB SITE.
<br /> 3. Plumbing permi may be issued ONLY to licensed plumfiing contractors and to property owners
<br /> residing jn the d elli�g.
<br /> „ ,�, ,,� ,.,.,.,_ 4. �,W n an w ns�uction or remodeling is involved,a sepazate buildin� ermit must be
<br /> „ ,�._ �.r,.�, Y�Fur,, .nr ;r�. : n_,_�7w��F;�
<br /> obfaine�: �
<br /> I5. All work musc b do�e m accordance with State Code requirements.
<br /> 6. AIf work must b ins�ected and air tested before it is covered. Call(952)249-4600.
<br /> (24-48 hour no cc required)
<br /> , _.__ _. _ _—_�t___----�--_r
<br /> - :�: ��� '� `:,>.�<> TYPE OF PERMIT
<br /> �. ',�;. , , ;�� r; . Check All That A (',� ,,, . ,, ,
<br /> � � ,.: �
<br /> ,, - �,_�r� :;��� ���. � .,
<br /> ResiclEntial ,', Commercial(Approval Required) _ — - - ! . . .
<br /> .. .. - �-nf;��,� � ,.,o, ,,.
<br /> New A�c�itional . i ,� ❑�Repairs ` " [❑eplace
<br /> � ._ ..:n� �,��1�::.��,� '..:'[ � . .�,1''i: c §_� �� �': , � ,t , 1 I:�
<br /> �o �vill`�e d� r� r a � '._.� ;.:�. ._.. .: ._ :: _._ _ _ . . __._. ..
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<br /> 1 -�-Ar.�esso � t��t�c re.-,- roval nnd may need Ci f�.(Fer.Orono City Code,Chapte�78,Arti.cle IV)
<br /> Jqb�5ite/'Oi�vnet9nf t'rr�ation: � � T" ,,=�,; ;' . � ;� � , >� ���'
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<br /> Site Addre�s, �';� 'SYl�ilt�'1 'I�IV,e'', ,, �`` - _ ,,: ..' I . ____.. ._..
<br /> O er:' �►.��I � , X�CC�1 . i;�, ,D� �Ma►i'in�"Atltiress: . 2���5 Wa��r�Wn�n,,Rd
<br /> , � , ;il ;�i� , n,:
<br /> O�ro��,,, � �: , ,,� ,,�.� �n � , ... �,. . . 5��3�6�� �,:
<br /> C tY= .��...�, . - zip:
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<br /> Horne P�tane:� �1�'tt;� �'�70�-4��g,.:,u , i�� ,�A�t�rnate Phone: -�Gr,c; .
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<br /> - �raEtor-��fer-�ti n: _. _ __ __._ __ - ---. _ _ __ ...__.__ ._._ ._ .___._
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<br /> Prefe ed Plumbing,JRG'.:= tia� '� :�. `, , �, Da�.�.lough
<br /> C ntractor: - - . _ _ Conta�C Person:
<br /> �� .�.:.,�,:�a g400 High� �o��t�r��i� � ,,� ;�� ,,,, , PC6457�9
<br /> ���dress: State Bond #:
<br /> ,
<br /> _, �v": Pri L�ke ' S5s�2 -; <�,:;:�;. 12/3�713
<br /> (�ity: Lip: Expiration Date:
<br /> , t �'�` �(�� � 4.,4�-57 ..,a , ( )—.4 9249
<br /> Pi�one -.:. = '�a`'� � . Alt��r►atc'Phoi�e: ��� ` ��-
<br /> -- -_ __ _ __ ___ _ ----_. 9306754
<br /> �c, �;i� �:� �c �,;, ai� Insurance—Current:
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