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fO 17/77 Ca <br /> CITY OF ORONO APPLICATION FOR PLUMBING 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. CU Y Ur- (.'1,CV: ) <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 249-4600. 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 249-4600. <br /> Please check one: New Addition Repair K Replace <br /> k Residential Commercial <br /> JOB SITE: ZO -/ i I i/I3 Road Zip: 5539/ <br /> Owner's Name: V / <br /> Pe-±,e/r-- Telephone Number: (gsz)L173-fciZ <br /> Mailing Address: Zo6,5 t-J�b,,-//15 City: Orar70 Zip: 5c3 ' <br /> Contractor's Name: ill -bia)i /7/ n b,- Telephone Number: (0(z)82 7-6/033 <br /> Mailing Address: 2905 67a-1-74e lc/ ve-SoY City: Mpb Zip: 5540? <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 Floor 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 />