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<br /> _ CITY QF OR011TO APFLIC�TION FOR PI..LTNIBING PERMIT
<br /> Box 66 (2750 Kelley Parkway)
<br /> Crystal �ay, MN �5323
<br /> GENERAL INFORMATION
<br /> 1. 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 CARD 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 Code requirements.
<br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
<br /> required.
<br /> Instructaons 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 Replace
<br /> r,� Residential Comrnercial
<br /> JOB SITE: � l�} � ( r` .��� �� �� � � �� , �~ �r,,;� Zip;
<br /> Owner's Nam �`` k� �,,,-�� r��5,�; �-��' Tele h n ;� � �,� ,�= �� =� ',,
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<br /> Mailing Address: � , , , .�;� ``� City: Zip:
<br /> Contractor's 1�1�ne �,, " : '; ,-,; , � ,J:.�:� Tetegho�e Number �.j� ;r; .,.� , �` �
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<br /> F�LTIVIBIN�- FIXT�tE SC�iEDULE
<br /> FIXTUI�E BSMT 1ST 2IVD OTHER FIXTURE BSMT 1ST 2ND OTHER
<br /> TYPE FL FL TYPE FL FL
<br /> Water Closet Floor Drains
<br /> Lavato Sewer E'ector
<br /> Bathtub Laund Tra
<br /> Shower V�asher
<br /> Kitchen Sink Vl�ater Heater
<br /> Dis osal Water Softener
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<br /> Dishwasher Wet Bar
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