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� r, ,,.,. .� d ... � . �,.� .. ..., �.., ,.. �....... �r ..," ,.., �.... ..�� <br /> • � <br />� � <br /> , • ��'� !i �? ��Q�� <br /> �I'�'Y O�° ()f�(?N�U A�'FLYCATIQN FiJTt PL[Tti"�BIl'd(��'��tM�'T <br /> �io�c f6 (27�p Ke114y Parkway) <br /> Cryst�l Bav, i�zN 55323 <br /> �iF.1YERA�� INF4RhiAT�Q <br /> 1. You may apply far plumbing petmits by maii or in person at the City offices. <br /> 2. �'�t'mit cbxds will be sent by retucn �na.il after a review is completed. P�FtMITS ARE NOT' VAL.ID <br /> UNT'Ii. Y(7U REGEtV� A PBRMIT. Vd'QRF4 �,,LiS7 �107' BEC��N UNTIL TH� P�IZMi7' C��S <br /> �OSTG� ON 'TFIF_Jv8 [`� <br /> 3. �'lumbing perrnits may hc issu�d O1Vt.Y to licensed plumbing contractors axid ta property owners residing <br /> in the dwellixig. <br /> d, 1Vhen any ncw constructiou or rc��acieling ts inv0ived, a sepazate building pernnit 1nu�t be obtainod. <br /> S. All wOc1C II1qst be dAnC tn �ccord8nce with the State Cade requiremcnts, <br /> 6, All work must be ittspGcied and �ir tcsted before it is cavered. Call 4'73-735?. 2�-hour notice required. <br /> [ns�ru��i��t�.� co;n��l�tp ali items an #h.is ap�lic�►tian. Campute thc� permit fe�. Sign and date <br /> th�certit'icat�oii. INCI���I�L�TI? APPL.ICATTONS WILL NOT BE PRUC�:SSEI�. If you hav� <br /> quescions, catl �73-7357. <br /> PleKse check one: __ � N�w �(�mm �Rdditian �tepuir _� R�place <br /> R�sid�ntiat Commercial <br /> JQ� 51'T�:_ �4�s o� C�s c.�� �c�-t.r-��- �� _Zip:_......�.�..w_..._...____ <br /> C?wner's Name: �� ,� f�-o,.�,�.,��µ�����Telephon�Number: ��_��� <br /> Maixin�Addressa ..��'Se�.�.� _ .City: ...�,-c�s ZiP: <br /> Contract�:�r'sh'arne:��� 'S�N���� ' ���.�'T'elephoneNumber:_ '7a�0�OS <br /> iLla.iling�1 ddress:��T ^City:���...�.ZiP:.�s_�.��._ <br /> PLUl�1B�,,,N�C�T�,j.�...�..�.�� <br /> F1XT[JRF, AS'�1T 1ST 2ND 07H�R �IXTUR� BSMT 1ST 2ND OTHER <br /> 7'YP�. FL FL. TYPE �I, FI� <br /> ^Water Closet l �ZOQC Drtins� - - � - <br /> �.ad•awry� � Sewer Ejector <br /> 6a�hrub ' � l�aundry Tray � <br /> Sho��er Washer <br /> Ki�chen Sink Water Neater <br /> Uisposaf Wate� Softener <br /> 1]'s5hw;ghcr � Wet Aar <br /> Siilcacks Misc (list) <br /> �� � ��� <br /> � a ' � � <br /> �J U� <br /> � i <br /> � <br /> 'l <br />