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94g4 <br /> f <br /> CITY OF OIt.ONO APPLICATION F NUMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, 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 /> InstructionS Complete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOMPLETE 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 SITE: \t)q Q Thr��j 14uvPt I(a Zip: 5535 CU <br /> Owner's Name: ' ,off- t= ��, Telephone Number: p,,gIMailingAddress: —, " , 'GAN WATER CONDITIONINfy: Zip: <br /> Contractor'sName �g30 CULLIGAN WAS' TelephoneNumber: <br /> Mailing Address: MINNi=TONKA, MN 55345 City: Zip: <br /> (612) 933-7200 <br /> P,L <br /> UMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Moor 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 Misc (list) <br />