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I o�� g� �° n� ��� ��J�` <br /> �5� <br /> CITY QF ORO\TO APPLICATION FOR �LUI�IBIRrG PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> crys�al say, 1�i�1 55323 <br /> GENERAL IlV'FOIL�IATION <br /> 1. You may apply for plumbing permits by mail or in person at the City o�ces. <br /> 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE 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 glumbing contractors and to property owners residing <br /> in the dwelling. <br /> 4. When any new construction or remodeling is involved, a sepazate building permit must be obtained. <br /> 5. All work must be done in accordance wi[h the State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. <br /> Instructions Complete all items on this application. Compute the pemut fee. Sign and date <br /> the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 249-4600. <br /> Please check one: New Addition Repair Replace <br /> Residential Commercial <br /> JOB SITE: t��:`�< `i � �. � . ��.� Zip: <br /> Owner's Name: t`/ �e�. � J Telephone Number: <br /> l�Iailing Address• ,S�r, ,�,�.�__ City: Y 7�� ��3 � Zip: <br /> Contractor's Name: ��� � e l�/��,, (�.; Telephone I�umber:;��- �j��'F�y9��5` <br /> Mailing Address: �3 �.Z l�� /��.�u �� �..�.c CitY: �v�h.�>�c ZiPe S.�Y� � <br /> P�,UMBING FIXTURE SCHEBULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS;�iT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Wa[er Closet ( � Floor Draias <br /> Lava�ory P ' Sewer Ejector <br /> . Bathcub � � Laundry Tray � <br /> Shower � Washer <br /> Kitchen Sinl: Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Misc (list) <br />