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� � <br /> CYT'Y OF 0120N0 APPLICATION FOR PLUM$�rG PERIVIIT <br /> Box 66 (2750 Kelley Parkway) <br /> Cr�stal Bay, M�1 55323 <br /> r,Err�R.aT,.�'oRNraTTo� <br /> 1, You may apply for plumbing permiu by mail or in person at the Ciry offices. <br /> 2. Permit cards will be sent by recum mail after a review is completed. P'�1L'1�1ITS ARE NOT VALTI�UNTIL <br /> YOU RECEIVE A pL�t.�VSI'I'. VJO'RK MUST NO'Y'AEGIN UNTIL T F PHRMIT CARD 1S POSTED ON <br /> TH�7aB SI1'F• <br /> 3. Plumbing perxniu may be issued ONLY to licensed piumbing couuactors and to properry ownezs residing <br /> in the dwelling. <br /> 4, When any new constniction or remodeling is �nvolved, a separa�e building permit mus[be obiaiaed. <br /> 5. All work must be done in accordance wi�h the: State Code requiremen[s. <br /> 6. All work musF be inspecced and air tested t�efore it is covered. Call (952) 249-4600. 24-hour nouce <br /> required. <br /> Ynstru�tinns Complete all items on this a�plication. Compute the pernut fee. Sign aud date the <br /> certi�cation. INCOI�iPLETE APPLICATTUNS WILL NOT BE PROCESSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: Ne�v _ Addidon Repair � Replace <br /> �Residential __ Commercial <br /> .�OB SITE: i L.sa ��' �`� �P�- � <br /> Owner's Name: TeIephone Nuinber: <br /> .�'1L'�.._.�� <br /> Mailing Address: ity: Zip: <br /> Contractor's Nam�Z�� � � Telephone Number: <br /> MailingAddress: �T��,��T�MKA� M�-,�53�45 _City: Zip: <br /> (952) 833-72.00 � <br /> PL'tMBING FIYTU'RE SC�:ATJLE <br /> FIXTURE BSMT 1ST 2�IA OTH]:R �T.'YTURE BS�IT 1ST 2ND OTFIER <br /> 7YPE FL FL TYP� FL PL <br /> 'Water Closet Floor Drains <br /> Lavato Sewer �jector <br /> Bathtub Laundry Tra <br /> Slzower Washer � <br /> Kitchen Sinlc Water Hea�er . <br /> Dis osal Water Softener <br /> Dishwasher Wet Baz <br /> Sillcocks � Misc (Iist) <br />