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. �OR CITl tt'ifi OIYLI <br /> �';;�, ':p . C`it;c of Omno �'Q <br /> � �� P.O.Box66 L'�ulr Recei��rcf.��� }'aimil=C�O��_ �U � <br /> ''�� 4'�'; 2750 Ke3ley Parlcway <br /> �`g !I" �'< +�;' Cryatel Say,Mhf SS323 _appnn�rJ A�•: _ Amou�t�:3 as <br /> i��r n'�;,,t �'�` c9s2�za�asoo <br /> __. q5a:-ay� -yGi� <br /> CTTY �F ORO1�0—PLi1M811�G PF.RM][T <br /> {A11 Commarcial permifs mvat be epproved by 9�e Building OCf'aiel or Inxpector) <br /> GENE:RAI,INFO�v1ATfON <br /> ]. You may apply Far plumbing pennits b}�rnail or in peison at the City offices. Applications will be <br /> reviewed and a p�m�it will be issued within two wcaking days. <br /> 2. Peitnit cards wiil be�ent by rett�rn mail after a review is�npleted. PERIVIITS AR�NOT <br /> VALID UNfII.YOU RECEIVE A PERMIT_ �VORK 1hiUST�YOT BEGIN UNTIL THE <br /> PERMIT CARI1 IS POSTED ON TI�JOB S1TE. <br /> 3. Plumbing peainits may be issuad ONLY io licenseJ plumMng con.trsctois and to pruperty owners <br /> residing in the dwelting. <br /> 4. When any nc.wv constcuction or rernodeling is invotved,a separatc building permit mu.st be <br /> obtained. <br /> S. A1I work must be done in accordance with State Code requiremenis. <br /> 6. All work must t�e inspected snd eir tested before it is covedad. Call(952}249-�600. <br /> (2a-d8 hour nottce requlred) <br /> TYPE OF'PE�:IVIIT <br /> (C:hec�:.A�l T1sat Ap�alY) <br /> �CZe�i+�eutial. ❑Commcrciaf(E\pgrova]Required) <br /> C]Ne��' ❑Additi��3a2 ❑Re��ir,, ❑Replace <br /> ❑ I�t Acces�c�n�Stn�chire? <br /> *You w�il1 need nr�c�r:ymro�•s�l a�id m�ti�lleed t'"i_, jPer(hono Cit�• Code_Cl��iPtet 78.Article IV I <br /> 3ab Site/Owner Infonnation: <br /> Site Address: �I�5 ('t1.���r'� �j r1� <br /> Owner: �ailing R.ddress: <br /> CitY: Zip, <br /> HomePhane: Alternate Phone: <br /> Cot�tract�r Infarniation: � r <br /> � <br /> Cantractor: Stewart Ptumbing, Enc. Eontact Ferson: �Baker <br /> Address: 13025 George Weber Dr#1 State$ond#: 061344-PM <br /> City; RO�� Zlp:55374 Expira.tion Date: 12131/� <br /> Phone: (�63j 428-1833 ���,te Phone: <br /> ❑ Instuance—Current: <br /> 1 <br /> T 'd EEL T BZt�E9L 9N I HWf11d 121d�131S Wd6E �f� 0 i 0� L T qa� <br />