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1998-010247 - backflow preventer
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2715 Countryside Drive West - 04-117-23-12-0019
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1998-010247 - backflow preventer
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Last modified
8/22/2023 5:07:26 PM
Creation date
5/3/2016 1:55:01 PM
Metadata
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Template:
x Address Old
House Number
2715
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2715 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120019
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Updated
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. <br /> C1TY OF UR.ONO APPLICATION FOR PLUMBING P�Ril�1IT <br /> }Sr�x b6 (27�0 Kelley Parkway) <br /> Crystal Sav, 1VIN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City 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 pernut 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 /> Instructioii,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCO:��PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: 4. l�ew Addition Repair Replace <br /> �Residential Commercial <br /> JOB STTE: ` C�-�� ��� �✓: Zip: J'� .�3�� <br /> O�i�ner's l�tame: ..�,�i�-t��- �J���' elephone Number: <br /> Mailing Address: � 2"/_'� �u ' � �-� City: -ve�,_; Zip: �5 3J��, <br /> Contractor'sName: �v1v ' �, Tele honeNumber: �(�,.-��� <br /> Mailin A ddress: - � /� ��4- , ity:��' Yf G�� � Zip: �y-��� <br /> g � / O �/ I� <br /> _,,, <br /> PLUMBING FIXTURE 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 Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwtsher Wet Bar <br /> Sillcocks Misc (list) � Q /" ��-��� <br />
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