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I � le <br /> � � � � �� <br /> Q <br /> CIT'� OF ORQNO APPLICATION FOR PLUIVIBING PERIVIIT <br /> B,ox 6C (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 . � ' )�..� �� <br /> 1 �� �f- <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City o�ces. <br /> 2. Pernut cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL <br /> YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON <br /> THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners 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 acc�rdance with the State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice <br /> required. <br /> Instructions Complete all items on this application. Compute the pernut fee. Sign and date the <br /> certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: New Addition Repair � Replace <br /> �Residential Commercial <br /> JOB SITE:� I ` �-��i ���l��' � ip: ��� � <br /> Owner's Name: � ` �v� Telephone Number. r�'� <br /> �' Mailing Address:b�.��E (`�€S L� ��1� '�-g�-�� City:j��/'1 C� Zip: �, � � <br /> �` Contractor's Name: ������_ �- �'��� Telephone Number:�j�-���-�j'�'7(� <br /> �' Mailing Address:�U� ��f� �/� �- City: � � Zip• 3�-% <br /> T <br /> �;;:- <br /> Ri. <br /> �<; PL�Jli�IBING FIX1'URE 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 /> Lavato Sewer E'ector <br /> Bathtub Laund Tra <br /> ��. <br /> Shower Washer , �� <br /> Kitchen Sink Water Heater ���, eJ��`�z�. <br /> Dis osal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Misc (list) � <br />