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�' - <br /> Rrt <br /> ; � • ,.' , <br /> J ;'i' <br /> �8� r �r,--��<.€��:rcr5. <br /> R CITY Q�' URONO APPLICATION FOR PLUMBING PERMIT <br /> �ox hb (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> GENERAI. INFORMATION <br /> l. You may apply for plumbing permits by mail or in person at the Ciry offices. � <br /> 2. Permit cazds 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 /> � Instructiou� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> ` the certificatiaii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> ' Please check one: New Addition Repair � Replace <br /> ,x Residential Commercial <br /> JOB SITE: /��O �i1��Cy�'.� � ��. Zip: <br /> Owner's 1�1ame: f/`� �./�C�� Telephone Number: <br /> Mailing Address: /p7�o /,��?•��s,� �T � - City: o.e.'e�.cfo Zip: <br /> Contractur'sName: L�v.�v°iO.6 �°��� �f�P6 TelephoneNumber: q�,�-��/-760� <br /> MailingA.ddress: J�5/�y' Zr,c3/�� City: ��t�ir�6� Zip: �3 7� <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains <br /> Lavatory ,3 Sewer Ejector <br /> Bathtub - Laundry Tray <br /> ; <br /> Shower o�P.. Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw.�sher Wet Bar <br /> Sillcocks Misc (list) <br /> �� ,���"�'������'�P9 � �� � ��` �._ <br /> �k � �� #n. <br /> �. ,�- �� <br /> . <br /> , ,. <br /> �� � �� � <br /> ��� ' i� �� �� <br /> �' ,f��r,. ...�+�'�, '}�w�-�� � � �w..�' <br /> _. $ ... . �.F`4`?-.�r 4Y}�iE�..��'e ..L�..�:'��� �.._. �.'7,.�e�Ilk..».. �nm, . . e v3d'4�,'. ._. 4r« .. . _ , <br />