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- 5 <br /> J Ui�l r <br /> CITY OF OR.ONO APPLICATION F6R�fAMBING PERMIT <br /> }Sox 66 (2750 Kelley Parkway) v' <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 /> Instruction; Complete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCO1WPLETE 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: �D� a460 a Vie- ZiP� 55 3 <br /> Owner's Name: Telephone Number: 1171--`Yya7 <br /> Mailing Address: Zvi E City: 611rr»o Zip: <br /> Contractor'sName: am r�rtimbd TelephoneNumber: ?27-y033 <br /> Mailing A.ddress: ZyDS 6,aW,e l Al . so- City: M5 Zip: 555/08 <br /> PLUMBING FIXTURE SCHEDULE <br /> M FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> ri TYPE FL FL TYPE FL FL <br /> K' Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Washer <br /> Shower <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Misc (list) <br /> a�� <br />