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�� <br /> �/ l � <br /> CITY QF ORONQ APPLICATIQN FOR PLLTMBING PERIVIIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFORMATION <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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing pemuts 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 249-4600. 24-hour notice required. <br /> Instructions Complete all items on this application. Compute the permit 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 /> �OB SF�'EE:_ Q �`��� � �h c_o�c�1�� � ��� Zip: <br /> Owner's Id'ame: t� ��,�� 6� 7Celephane Number: <br /> Mailing Address: i��t� C ��nL� :�;�_ 4��'►��. �� City: ��t��,;� Zip: �����_.� <br /> Contractor's Name: �L � � ` 0�� - Tele hone Number: (� ��� � ��� ��-p � <br /> Mailing AddresS:3�,C� � ` _ , S'� Cit3'� �- r� �iP� �-�� r-� <br /> PL�JMBING FIXTTJR� SCH�I��JLE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray � <br /> Shower Washer � <br /> Kitchen Sink � Water Heater <br /> Disposal � Water Softener <br /> Dishwasher � Wet Bar <br /> Sillcocks � Misc (list) <br />