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12/01/2004 15:02 FAX 763 591 6071 IVERSUN f�002 <br /> �'�` J <br /> . �•► <br /> CITY OF ORONO APPLICATION FOR PLYJMBlNG PERMr.0 <br /> Box 66 (2750 Kel�ey Parkway) <br /> Crystal Say, MN 55323 <br /> c ENERaL IlVFORMA�riON <br /> I. You may apply for pluaabing permi[s by mail or ua person at th�e Ciry offices. <br /> 2. Permit cazds will be senc by re�urn mail after a review is completed. PERMIT5 ARE NOT VALID[JNTIL � <br /> YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL T'HE PERMIT CARD I5 POSTED ON <br /> E 7�B SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbiog conaactors and to properry owners residing <br /> in the dwelling. <br /> 4. When any new construction or remodeling is involved, a scparaee building permit must be obtained. <br /> S. All work must be done in accordance with the State Code requirements. <br /> 6. All work must be inspected and air tested befare it is covered. Call (952) 249-46Q0. 24-hour notice <br /> required. <br /> �nstructions Complete all items on this application. Compute Che permit fee. Sign and date the <br /> certificatiom. INCOMPLETE APPLICAT�ONS 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 '� Zip: <br /> Owner's Name: �k� i�;��cc �4ame� Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractor's Name: �1"hae�� Plur.�.l�1.�� Cxr �,�,� Telephone Number: �sZ-yyy�S3� <br /> Mailing Address: �(oc� L�.��� `� City: l rw��l^� Zip: �/�I <br /> PLUMBIN� FIXTURE SCHE�_LT�.� <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE SSMT 1ST 2ND OTHER <br /> �-yp� FL FL TYPE FL FL� <br /> Water Closet � 7i Floor Drains ( <br /> �„aya�o � Sewer E'eccor � <br /> Bathtub � / Laun Tra <br /> Sbower Washer / <br /> Kitchez� Sink � Water Heate� � <br /> Dis osal � Water Sofrener � <br /> Dishwasher We�Baz r • <br /> Sillcocks Misc (list) <br /> :-�� <br /> .� <br />