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w�t <br /> . �� ��� <br /> ��U � <br /> CITY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> 1toY 66 (27�0 Kelley Parkway) <br /> Crystal Bay, 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 /> POSTF.D 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 separate building permit must be obtained. <br /> 5. All work must be done in accordance with the State Code requirements. <br /> 6. A11 wo:k must be inspected and air tested be;ore it is covered. Ca11 473-7357. 24-hour notice required. <br /> Instructioi�,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOMPLETE 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 SI'TE: e Y �n G�Ic;�E ��. �. Zip: <br /> Owner'sName: v� L..o a� �eiephoneivumber: y� -� � °�a� � <br /> CUSTOM PLUMBING INC. City: Zip: <br /> 2105 Daniels St. TelephoneNumber:� `�- p 1 "7 <br /> P.O. Box 694 City: Zip: <br /> Long Lake, MN 55356-0694 <br /> ri.uivi�ii�.J FIXTURE SCHEDULE <br /> FIXTURI: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> VJater Closet Fioor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink ater Heater � <br /> Dispos�il Water Softener <br /> Dishw.�sher Wet Bar <br /> Sillcocks Misc (list) <br />