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Fr � <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING PERMIT <br /> ISuY 66 (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 <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 <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing pernuts 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 /> b. Ail��ork must be inspected and air tested before ii is co.e:e�. C:11 473-7357. 2?-ho�:r notice required. <br /> Instructioii,� Co:nplete all item� on this application. Compute the permit.fee. Sign and date <br /> the certification. INCO1�7?LET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New `�_ Addition Repair Replace <br /> Residential '�_ ommercial <br /> HRFtThIETT EETTW <br /> JOB SITE: 4201 N4PTH �HGRE DRIVE Z1p: <br /> Owner's 1�1am� �R4N0 , MM 553b4 Telephone Number: <br /> H 472-3433 W 471-0722 BETTY <br /> Mailing Addrt City: Zip: <br /> Contractr►r'sNarr��-�R�,piapr�uANCE ��ST��.►-�=��` TelephoneNumber: <br /> MailingA.ddress: (612) 827-4033 � City: Zip: <br /> .� -� <br /> MINNE�tp�E_��: �,�'��� ���;:r.;Cs� • <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 /> Dishw<<sher Wet Bar <br /> Siilcocks Misc (list) <br /> NORBLOM PLUMBING C0. ����'��� <br /> .\G` DBA VENTCO/APPLtANCE INSTALLERS <br /> fAv� �s�2> s27-4033 MAY 5 1991 <br /> l/, 2905 CARFIELD AVE. SOUTH <br /> ` � MINNEAPOLIS, MN 55408 <br /> C:i o � v, .,�;-�C1iV� <br />