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� ` FOR�,'ITY USE ONLY. <br /> �"�^' City of O�o�ao ` <br /> ��� P.O.Box 66 .1�7ate�eccive� �` + F'ermrt3� .� '`i <br /> �,J 2750 KeJtey Parl.�cuay ' i . '� " <br /> CryStal Bay,MN 5�323 Appxo+i�"a�y ._,� 'n���ourc�: <br /> (9�z)249-4600—1vlsin -'`.m <br /> ' � �� (9S2)249-4626—Fax , • ^...,• , . <br /> �' G�' ���'� Q���0�0 l—��U����i��,�.��� <br /> ����'5��� (All Commercial Permi[s Must be A��proved by the State Prior to City Ap�roval) <br /> IaTt ://www.dl�.nan. av/CCLD/PDF/ e lumb lavrcva . df <br /> , .,_.... . . , . . _ _ ,. .. - - - <br /> G�,�L�Et1�i�� �,9�,��'IQ�V.:. _ .- . ,� <br /> 1. You may appty£or p�u�nbiag�errr�its by tna�l ox in persa�n at the Cit��o#�ices, Applications will be <br /> rcvicwed and a pennit will bc issucd within two working days. <br /> 2. �ernait cards will be sent by rztuan mail a�er a review is eompleted. PERMITS ARE NOT <br /> VA�I Zp UN�'Z�.XOU�C�ZVE �PERivIZT, WORK NIUS'�NO'['I��GIN L'�Y'�'�L xHk; <br /> PERMIT C�RD IS POSTED O�THE J(�S SITE. <br /> 3, �luaibing perrtairs may be issued ON�.Y to licensed plumbing contractors and to property owners <br /> residing�n the dwel]ing. <br /> 4. When a�y pew constnlctioa�or remodeCing is i�nvolved,a se�arate buildi��perrr�it►nust be <br /> obtained. <br /> �. AIt work must be dorae ira accordance witt�State Code rec�uirernents. <br /> 6. All wprk tnust be i►aspected and air t�sted befp�[e it�s covered. Call(952)249-4600. <br /> {��-�8 hour noHce rec�iiired) <br /> . ._ <br /> , . : °, TYPE'OF'PERMI'T . ... ".°' _ <br /> , � <br /> , <br /> ` Ch`eck A�I I.'I'�ia�A 1 � <br /> , <br /> ��teside�atial ❑Con;At�'xerci�31(A.pprova��e�u�xed) <br /> �]New ❑Additioc�al �Repairs �R.eplact <br /> ❑ In Accessory 5trueture? <br /> *You will neecM prior aunroval and may need CUP. (Per OKono Ciry Code,Chap�r 78,Az�ticle CV) <br /> Jt�li,'Si��/�'O�t'i�t�,Itifor��flon <br /> . ; <br /> � : . �-: ... _ .. . . , . <br /> Site.A.ddress: �7i'� ���/7 � ��- � <br /> Oumer: (:d�vc,� f;����¢�dh Mailing Address� �37��ern� ,� /U <br /> city: �ro✓�o zi�: v�S � � / <br /> Home Phdne: Alternate Phone: ���- �q0- ��Z� <br /> Cvntra�toi-'Xn�o " . , , - ,` <br /> 1C�7Q�t�(lS�::r` . .,. ,; <br /> Contractor_ !.�'ir d- � Sm n S �lt�t7i'+�ontact Person: �`wt <br /> Address� 3'Y/O �'i�'stC{- �ne � State Bond#: /� d4✓� ��✓� <br /> City: ��i�v�?�_ Zi�: �.5`1`�I Ex�iration Date: ��Z� /� <br /> PI7011�= F�� y�� ���� Alte�-x�,ate�ho�e; <br /> ❑ ZnsUrazaCe—Cllrrez�t; � <br /> � <br />