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CITY Q�� O�Z�I�1� A,PPLICA�'IO1�T FOR PLUM�IIVG PEISIO�IIT <br /> �ox 66 (2750 Kelley Parkway) <br /> Crystai �ay, l�d 5532� <br /> , , <br /> GEI�RA��,Il�1F��ATION . _ _ ; .. , �.. <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 retum mail after a review is completed, PERMITS ARE NOT VALID UNTIL <br /> YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN UNTIL THE PERIv1IT CARD IS POSTED ON <br /> 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 Scate Code requirements. <br /> 6. All work must be inspected and air tested before it is cavered. Call (9S2) 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 � �e lace <br /> t//�esidential Commercial p <br /> J��SI�i'�L PERCEIVAL, SUE _ _/ _ <br /> • • -. . - 2732 CAROLINE AVENUE .— " `�lp: � <br /> ���fl ^ ��YIl�:. ORONO,MN 55391 '' �T�lephone T�iumber; <br /> O�vaie�r's <br /> .. , n��c�dress:.� (952)471-0525 �i� : , <br /> Contractor's N�ae e �` . '��f p� ; __ <br /> , . � Tetephonel�t�iber , C�i2��2� <br /> Mailing A,tidress: 2qOS .e/ .So. Cfty:`/�/�/S Zip: SSzO�'�' <br /> ��,��I�� �IX�'� SCI�� � E <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE <br /> FL FL <br /> Water Closet Floor Drains <br /> Lavato Sewer E'ector <br /> Bathtub Laund Tra <br /> Shower <br /> Washer <br /> Kitchen Sink Water Heater <br /> Dis osal . Water Softener <br /> _. _ .... <br /> _ <br /> 17ishwasher . <br /> Wey Bar ,. <br /> . _ ... . . _ . <br /> Sillcocks Misc (list) <br />