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� 3�. 3y <br /> � ' � ,� -�5� <br /> �` �� , <br /> � <br /> CITY OF ORO\'O APPLICATION FOR PLLJ�SBING PERMTT <br /> BoY 66 (2750 Kelley Parkway) <br /> Cry�stal Bay, �IN 55323 <br /> GENERAL INFOR�IATION <br /> 1. You may apply for plumbing permits by mail or in person at the City o�ces. <br /> 2. Permit cards will be sen[ by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UtiTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> ; 3. Plumbing permiu 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 /> Instructiors Complete all items on this application. Compute the permit fee. Sign and date <br /> the certification. Pi 1COMPLETE 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 /> JOB STTE: �760 D�.�r �,;,�- Tr-u.,� Zip: <br /> Owner's Name: Telephone Number: <br /> �Iailing Address: ��6c� �r �un T�-«,�1 City: U s-vr�o Zip: <br /> Contractor's name: ��d � ,�ns �/v,y��, ,nU Telephone I�umber: <br /> Mailing Address: �,jS- �-rv/�eu.v L.�-n� City: P r�ov I� Zip: ,�s y�/7 <br /> PLUVIBING FIXTURE SCHEDULE <br /> FIXTURE BS�1T 1ST 2ND OTHER FIXTURE BS:�iT 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) � U; ��-- <br /> i <br />