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cSTT yr vRvnv 01c-TT7v71v v7 rcvr7T 1-r:cc Q' :v.trv7 nv:07v <br /> '7117D A02-0 <br /> CITY OF ORONO APPLICATION FOR PLUMBING PERMIT 46'i-5° <br /> Box 66 (2750 Kelley Parkway) •';v© <br /> Crystal Bay, MN 55323 <br /> MUM INFORMATIC A <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 SIT. <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 /> IllStrUCtiOni Complete all items on this application. Compute the permit-fee. Sign and date <br /> the certification. INCOMPLETI: APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one; _ c/ New _ Addition Repair _ Replace <br /> Residential Commercial <br /> JOB SITE: ? 1 70 cu -"_424 a 6 Luc/ Zip:_ <br /> Owner's Name: ..w._ Telephone Number: - <br /> Mailing Address: _ City:_ Zip: <br /> Contractor'sName: T?p 4 � n� TelephoneNumber:_ 12 V- 2 6 '-/4. <br /> Mailing A ddress: 7'7/. 73 �ti City: _._ Zip:_ _ <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet 1 ^ Floor Drains 3 <br /> Lavatory 1 ' Sewer Ejector <br /> C. C__ ._._._._._ <br /> �Gb ( Laundry Tray _ <br /> t921-Z;57411. l f ` Washer I <br /> Kitchen Sink / Water Heater / — <br /> Disposal Water Softener <br /> Dishwcsher Wet Bar <br /> Sillcocks 2 Mise (list) <br /> / C riY <br />