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/05L73 <br /> CITY OF OR.ONO APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 j <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 /> 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 473-7357. <br /> Please check one: New Addition Repair Replace <br /> X Residential Commercial <br /> JOB SITE: ''3 S w 1 hcf, ip mime r Lc/ n e, Zip: 5 5 3 G'4 <br /> Owner's Name: Nur_k i\t vc 1 I TelephoneNumber: <br /> Mailing Address: City: r'Ylo Lt vi oa Zip: <br /> Contractor'sName: ce So vis 1 h c . TelephoneNumber: x--(7 3—E�J 0 3 <br /> MailingA.ddress: Pox gy City: Lerio 1-ctke Zip: s3 5 <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 />