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, � � / <br /> � <br /> C1TY OF OItONO 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 <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. F'lumbing pcnnits may be issucd ONLY to licensed plumbing contractors and to property owncrs 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 i[ is covered. Call 473-73�7. 24-hour notice required. <br /> Instructions Complete all items on this application. Compute the permit fee. Sign and date <br /> tl�e certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New � Addition Repair Replace <br /> � Residential Commercial <br /> JOB SI'I'E: `' a � Co �'��'��. Zip: '� ���� <br /> Owner's Name: Z �o Telephone Number: � �7� - 8 i � � <br /> Mailing Address: ';� �a5 Cws�_o ��f�_� City:c�u�z�, Zip: S S3�;� <br /> Contractor'sName:�j�T�.� ,,,„��-F-_ Dc.e.,r.R,. Telephone umber: �t-�� _ g , �.� <br /> MailingAddress: `?,�.�5 C�co Cd�9� City:w��Z.��� Zip:��'�� <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 x Laundry Tray <br /> Shower X Washer <br /> Kitchen Sink Water Heater - <br /> Disposal , Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Misc (list) <br />