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CITY OF OF20N0 APPL[CATION FOR PLUIi�iBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal �ay, MN 55323 <br /> GENERAL fNFORMATION <br /> I. 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 VAL1D UNTIL YOU <br /> RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 1S POSTED ON THE JOB <br /> SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the <br /> d�veliing. <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 evork must be inspected and air tested beFore it is covered. Call (952) 249-4600. 24-hour notice 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 questions, <br /> call (952) 249-4600. <br /> Please ched< one: New � Addition � Repair �Replace <br /> � Residential Commercial <br /> ,]OB SIZ'Ea � - � a'f����� Zip: �� ��"� <br /> Owner's Name: � �` 1'elephone Number: <br /> Mailing Address: City• C Zip• ��;�� <br /> Contractor's Name: � � ��� Telephone Number: ° -�- - ��y <br /> Mailing Address: City Zip• <br /> PLUMBiI�G FIXTURE SCHEDULE <br /> FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER <br /> TYPE FL FL TYPE T T FL <br /> FL <br /> Water Closet Floor Drains <br /> Lavatorv � Sewer E'ector <br /> Bathtub � Laundry Tra <br /> Sho�ver Washer <br /> Kitchen Sink Water Heater <br /> Dis osal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Misc list <br />