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y ` <br /> CITY OF ORnNO APPLICATION FOR PLLTi�iBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFOR.NIATION <br /> l. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL <br /> YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CA.RD IS POSTED ON <br /> 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 Cade requirements. <br /> 6. A.11 work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice <br /> required. <br /> Instructions Complete all items on this application. Compute the permit fee. Sign and date the <br /> certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: New Addition Repair Keplace <br /> __�___/�esidential Commercial <br /> JDB SITIE: STANTON, DENNIS <br /> � 3325 CRYSTAL BAY ROAD � 'Z�P' <br /> O�vne'r's Name: . <br /> oRorvo, MN 55391 'elephone Number.: <br /> Mailing At�dress� (952)471-7324 �it�:_, Zip; ; <br /> Contractor's Name: ` � c Telephone Number: (�i 2,�Iz�-y�3 _ <br /> Mailing A►ddress• ZqOS �,�✓ .so• City:_/VJ�/5 Zip: �s�c�F - <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavato Sewer E'ecror <br /> Bathtub Laund Tra <br /> Shower Washer <br /> Kitchen Sink Water Heater � <br /> Disposal Water Softener <br /> _ <br /> Dishwasher _ Wet Bar <br /> Sillcocks Misc (list) <br />