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f <br /> � <br /> �,✓ <br /> �� ��CEIVED <br /> � / <br /> C1TY O� OIt.ONO APPLICATION FOR P�,�I��T�Q'1 +RMIT <br /> Bos 6b (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 ClTY nF�JR�N�J <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 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 sepuate building permit must be obtained. <br /> �. 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 473-7357. 24-hour notice required. <br /> Instruction,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOM?LET�; APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair � Replace <br /> Residential Commercial <br /> JOB SITE: 3�? `— ��+2-Nal,�-�� � I� . Zip: s.�3 g/ <br /> Owner's Name: yv� � �� � � _ Telephone Number: �7 g —�jG 7/ <br /> MailingAddress: ,�I,�l�( �,1 City: L,R.-��,.;c; Zip: 6 s 3 / <br /> Contract�►r'sName: `�1��,,,�,��.�-. �►�4� TelephoneNumber: S 3;���{3�? <br /> MailingA ddress: t�9 L'�� � �,�NR- �+�-- A�� �-� City:j�� w P�iP: S5 c�Z�. <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE I BSMT 1ST 2ND OTHER FIXTURE BSMT 15T 2ND OTHER <br /> TYPE FL FL TYPE I FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater j <br /> Disposal Water Softener <br /> Dishw<<sher Wet Bar <br /> Sillcocks Misc (list) <br />