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. <br /> : y��, <br /> � � �''1 <br /> ���� <br /> C1TY OF UIt.ONO A���ATION FOR PLUMBING P�RMIT <br /> l�ox 66 (27�0 Kelley Parkway) ���N 2 7 1997 <br /> Crystal Say, MN 55323 <br /> c�-rv oF�RONC� <br /> GENERAL INFORMATION <br /> 1. 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 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 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 accordance with the State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required. <br /> Instructioi�,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatian. INC01�9PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: � New Addition Repair Replace <br /> �_ Residential Commercial <br /> JOB SITE: � �S� C`/���+Q�F'Y �l/� , c�i,E'vi✓� Zip: <br /> Owner's Name: �,�,f= G v�,�.�.=,��,�: � Telephone Number: yyy- 3 3�7� <br /> Mailing Address: ' ,�� �i�s�o� ,c� City: �iJ.�� Zip: Ssy,��� <br /> Contractc�r'sName: ,C/��'C�S'i,JE /�,l�s'� �t ,y�•�.�C TelephoneNumber: .��y-7�oo <br /> MailingA ddress: /.�y�� z�.�k:��: qd� City: ,Si9es.r3�E Zip: S53>F! <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURk: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet f�L � � Floor Drains � <br /> Lavatory J�1 � Sewer Ejector <br /> Bathtub f Laundry Tray / <br /> Shower J�� � Washer / <br /> Kitchen Sink � Water Heater � <br /> Dispos.il � Water Softener <br /> Dishw.�sher � Wet Bar <br /> Sillcocks � Misc (list) <br />