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/�� <br /> � � � <br /> � <br /> CITY OF O1tONa APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may appty for plumbing permits by mail or in person at the Ciry o�ces. <br /> 2. Permit cards will be sent by retum 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 pennits may be issued ONLY to licensed plumbing contractors and to properry owners residing <br /> in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building pernut 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 249-4600. 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 249-4600. <br /> Please check one: New Addition Repair x Replace <br /> _�C_ Residential Commercial <br /> HEDBLOM, BRUCE <br /> JOB STTE' z601 CASCO POINT ROAD <br /> ORONO,MN 55391 Zip: <br /> Owner's Name: _ �952�a�,-o2a2 Telephone Number: . <br /> Mailing Address: . Clty; Zlp; <br /> Contractor's Name: b/ Co. Telephone Number: (,�Z -�2�_ Yo 3 3 <br /> Mailing Address: �4�5 Gar�l�l�! �. City: �,d�S Zip: 55yog <br /> ,-- <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 />