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Sap-04-2003 12:06pm From-CITY OF ORONO +9522494616 T-093 P.002/003 F-778 <br /> 4 <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. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL <br /> YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CART)IS POSTED ON <br /> THE JOB SIM <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 obr2inrd. <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 (952) 249-4600. 24-hour notice <br /> required. <br /> Instructions Complete all items on this application. Compute the permit fee. Sign and date the <br /> certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: New Addition Repair Replace <br /> k• Residential Commercial <br /> JOB SITE: 1 r ?0 Li&rn Ft.o a 1 Zip: 5-5' 351, <br /> Owner's Name: sN.,,tR ► Dwt i�. r611/ -Telephone Number:_ <br /> Mailing Address: 1'7?e) Fit-ar)n P oa City: p Rb N o Zip; '$SL <br /> Contractor's Name:,(4 4.h.. R m 0 4 tJ�. _ Telephone Number; '76 3_r1 Q_3 40 y <br /> Mailing Address: (4 ss3 0 -p..01-11- 4r.e_N City: p Aev14 Zip: 5-6-447 <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 /> • <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Silicocks Misc (list) <br /> '‘r ENt'Q <br />