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�;TT'Y' OF U�.�I�'O APPL��CATTON �`OR P�.�'MBIlVG PERMIT <br /> Box bb {�.75U Kelley parkw�y j <br /> Crystal �a�;, MN �53�� <br /> ��nrER�L L�VFQRlll�Yarlc�N <br /> 1. You may apply tor plumbing pG�nits by �a�i �r in person a[ the Citv o#�tie�s. <br /> ?. Per�ruL cards �viil be sent 1��� relurn mail a�ter a revie�v is cr�mpleted. P�RMITS ARF NOT VA,�,ip <br /> UNTTL YOU R,ECEIi/� A k'ERMIT. WORI{ 1�IC1'ST NOT ���xIN UNTI�. Tf•T� FERMIT CARD IS <br /> PC)STEL OI'�' THE TC7$ STTE. <br /> �. Piun��ing 1�rmir;�xiay be issued QNLY to liccused plumbing epnt�z�tors and io property owners residir�g <br /> in t�ie ;iw�Ilirg. <br /> �• w���i �7,y new constructipn or remod�ling is involved, � separate building permit must be o6tained. <br /> 5. Al; tuork rz�ust be done 'rr� �ccordance vc�ith the State �qde requirements. <br /> e. A.il work must be inspected an� air tested before it ia covered. Catl 249-460�. 24-hpur notice re�uir�d. <br /> Ynstructror�s �ompl�te all items on th,is agplic�tion, Gomput� the permit fee. Sign �nd date <br /> th� ceztiti�ation. INCUM�'LETE Al'F�I.,�C'ATTOIVS WI�,L NC1T BE T�ROCESSEb. If you have <br /> qu�stians, ca11 249-�604. <br /> Pleas� eheck on�: .----Vj New --- Addition --- R�pair _---.� Reglac� <br /> , �T Resid�ncial Cc�m.tnG�'ci�.l <br /> ao� sr�: _��__�' �_ �� �ip: <br /> - - -- �.,._ <br /> ---- -- ----�___.r.�� ---- ---- <br /> +D�'ner's l��me: .. --- -..._.___. <br /> - --. '�elephone l�'un�ber; . ,. <br /> 11-lailing Address,� , -- ^'` � - J1.�-__Y_�,?-�ll� <br /> ' City: -- �Y�. _� <br /> Cantr�ctoris Nat�e: _C��. ��_�r � Telephc�ne IVumber: --__._.m... <br /> !17�iling Address: �-�-----.__._.._..v�__�_ �_..._��CitY: - ------ --m Zip�--� <br /> , <br /> PL.C)It�[B�i�F'IlYT�J�tE 5����CJT,E <br /> �'�CTLJR� �SM7 1S7' 2ND 0'TH�R FIXTURE BSMT 1�T' 2�t�7 OTHER <br /> '�YP� �'L, FL TYl'L F�, FL <br /> Watcr Clvset r - - -- -�—_ <br /> ,� �, F`toor Drains <br /> ' m`r` � -�.., �__.�....__��.__ <br /> Lava[or;� j � Se�u�X �lCGTOI j <br /> -�.. <br /> Bathrub � T_ Laundzy Tray / ^. <br /> Shower � I Washer � <br /> -�- ___..�. � <br /> �iitcherc Siz7.fc � ' VVater Heater �' <br /> T�isposal � mm Water Sat�ener � <br /> DiShwa�her �.�u �- <br /> � -_.. ...,..,,.��.,� .� Wet �ar � <br /> � <br /> Sillcocks �� � � � Misc (:istj �'`�''�''� �K <br /> - s_, <br /> - =z : <br /> �. ; <br /> � ..:-; �,..,; . <br /> � , .,._ �_r,�:=-� z ��a�.�_ , � <br /> ,-,� <br /> �.� ;_:�� � _ <br /> u . . ., . _ _ __ _ <br />