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12/15/92 12:35 THE C:I T1S OF CI ONO 612-473-7357 0102 <br /> LT 1 UkURuivu Av,e1,11:Ik.lUt1 1 Ult k'LUfi3.i1Nt, t'z.RMI <br /> ox 66 (1335 So grown Rd) Y', , <br /> rystal Bay, MN 55323 Y's 1" <br /> Iteetea*****h********see*A***k********************************************* <br /> neral instructions <br /> You may apply for plumbing permits by mail or in person at the City offices. <br /> Mailed in applications are subject to the postage and handling fees shown below. <br /> Permit cards will be sent by return mail the eame day the application is received. ^', <br /> Permits are not valid until you receive a permit card. k;.."` <br /> Work must not begin unless the permit card is available on the job site. <br /> Plumbing permits may be issued to licensed contractors only. <br /> When any new construction or remodeling is involved, a separate building permit must <br /> be obtained. <br /> All work must be done in accordance with State Code requirements. ;'s <br /> All work must be inspected before it is covered. Call 473-7357. <br /> 24 hour notice required. f <br /> k********************************* *************************************** S . K <br /> OB SITE ADDRESS' 61 0r ± . ; ., :::, <br /> zoupancy Type: 6. Resident ate— Commercial— <br /> WNER'S NAME: ',y 1),.. ek-krr Phone No. : - 330 3 * c <br /> ailing Address: .5 � 06- � City: L..cu,,y Lc64q- ((-101" <br /> �k�i� �. ciS3Sle <br /> ONTRACTOR'S NAME: +� i! I) IIc� Bus. No. : J:t' - t[-1o1" ' `r <br /> ailing Address: 11,13 l [l a a , �. City: L$ Zip:55412 , ); <br /> aster Plumber's State License N. . : ' 2.. City Cert. No. : <br /> k************************************************************************* '^'ys <br /> PLUMBING FIXTURE SCHEDULE <br /> (Show number of fixtures of each type on each floor) <br /> XTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE 5SMT 1ST FLOOR 2ND FLOOR OTHER 1 <br /> .4 <br /> T "7 } <br /> ' 1 <br /> star Closet ' sewer Ejector <br /> +vatory 40,1011110 Ii Z--- /w Laundry Tray I-_._. <br /> ithtub i Washer �(- <br /> --- -- . -- ---- .�W_ -____'-__ --- - <br /> lower Water Heater <br /> 1 <br /> Ltchen Sink 41-_—' - water Softner <br /> - <br /> LspoSel Wet Bar .t1 <br /> 4 <br /> Lshwasher Sump Pump <br /> Lllcocks Misc. (List) <br /> loor Drains ' <br /> ************************************************************************** <br /> . Fixture Fee The minimum permit fee is $30.00 $ 7 .C © ? 5 <br /> • <br /> Compute number of fixtures fl x $0/fixture ;'f, <br /> ,2- x $5/fixture reset '; <br /> ▪ State Surcharge $ .50 k=' <br /> . Postage 6 Handling (only mail-in applications) $ 3 .50 _____„ <br /> TOTAL PERMIT FRE (add lines 1-3 above) $ /(1 oe <br /> *****************...*******************************W........************** :,' <br /> he undersigned hereby applies to the City of Urono for issuance of a Plumbing Permit, <br /> green to do all work in strict accordance with the ordinances of the City and the <br /> agulations of the State of Minnesota, and certifies that all statements made on this �i <br /> pplication are complete, true ;Ind correct. ((x 7 �C? <br /> v <br /> ignature of Applican / A <br /> I Date: 124S BIZ <br />