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•09/c^2/2016 08:10 FAX 9529a35049 CtiLLIGAN MNTKA f�002 <br /> .��� City of�rono ��;�� I,.; :,.�.,r FOR CITY'USE ONLY,:,,",'i::�r:, �;���,j;r,,.�i,. <br /> '�, ,,:�r.�:„„,..,:;, . ,..,�.. . <br /> � 2760 Kelle�Parkwa ,,,,,,ate„IReCetV,ed;....4 �,. �.�, .,,�.'..�."�^� . �:�':.I'.'','�",;;f�'''c:;''r <br /> � Crystal 6ay MN 55 23 Pe��'lit#�',�i�,l ��!�:'�s►."'�:Ecik!��i;i�',!� ;;'Mi�,; '; <br /> .,�...,,,.,," „ ,.,,, ,., '�, <br /> y ._� :;i,l ��.�, r..,,r'i: cir. �i'., :,,c,; '"'r <br /> � 952 249�600--M in ��!� �r;��, .,�. �"��,'W <br /> � , ,.,. �.:,. ,,�!'r',''i;,l'�:"I:1,,.�'„?::�.,..�.r�:;��, � , <br /> � � � — T �.r., By.;,i;l:'�Sr',d..,' .., .�I,:�„�.,r, �,.;�„1I:�'�.,, �.,�;'.I <br /> sH 952 249-4616 Fax .,, �. ..'�.,,. <br /> ` 4� ApP,..�,„�.�,�. , ,�,., .,,,�,��,.,� <br /> xs o v ( ) ,,. .oved .,��,,,� µ,.,i. ,,,, „ ;� <br /> d�,,!' 'I��,r�,�;.,c ".�hi";. rri;�i ��.,n'i�i'�I �'i�, :�'ril, '�u:l,�:a <br /> .�. �,:"i,,,;„f`'!:!�'"'�";�!ilr,:,l��!;`'''i;,,;i,.�„�,..i';"�;.k�W ,.;'y,� <br /> „; �. .;;;, <br /> Amo'u'nt'$.� � ,��,.�,r. 4.,, ,�,.�.,;�,:�;'�w�:��;,'' <br /> CITY O� ORd►NO — PLUMBfNG PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to Ciiy Approval) <br /> htt ://www.dli.mn. av/CCLD/PpF/ e lumb lanreva . df <br /> ;r ,�, ��,�.,���,�� ��,�,tl�,�� <br /> asr;i �rr „�a,rllr�, .°i: <br /> Ilil' ;dl.l"•"i,Y �Idhtl ;IIGL �;��,�,�I����, 6�i'a'.� <br /> i+ ''i <br /> ,I' <br /> ., "If���.��..�- � ,��,� �,,.��do��������,��„��,.,.,���,,.����. „��,.� �� . <br /> �.,J "II;". <br /> 'ICIC'1,11�.1i;!,^,,;IIVI; ".,a.., <br /> � .,, .. . .,„•� �..�� ;' .., <br /> ".I' ,�.. � ,,...,.,!::,��.,, , .,.�,....,,..���,��,�,�, . <br /> GENEE�AL I FORMAT(ON. . „ ,�,��,�I.,..�..,. ,,,,. „,...„,�,, ;;�: ��.,.,., ,a�,:���� �,., , <br /> .. N .,,� . ,:,,�,,,,,,p„ � ,�.,.�,.,,,..,,�, ,,.�„.,.,,..,.��.,. ,.,�,,,,.,,,,,,..,,.,,.,..,..,„ .� ,.;..,, L , ,,. ,,.. ;;I�,�,� <br /> ,,,,,, �I„��.�.. i I� il.l .1.,....�.1,,��..�,„„���,..�.,�,,.wu..,�.„�..�.�,.�..,,�.������,„�.v�, I;I����'�hl,,.,,�,.�„��,L..g,.�.�;��.,��,��, , <br /> . , � ��.,.„���„����,. e.., i , u i i�•�� .���.," , <br /> I I I ,,,I. I� <br /> 1. You may apply far plumbing permits by mail or in person at the City ofFces. App[ications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALfb <br /> UN�"1L YOU RECEfVE A P�RMfT. WORK MUST NOT BEGtN UNT1L THE PERMIT CARD IS <br /> POSTED QN THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separata building permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249�600. <br /> (24-48 hour notice required) <br /> .�,,,,..,,„,,,,I,,w,., .,,,„, ,,..,,,.�,,,,u,,,,, ,,,,,,,,,,,.,,,,„.,...,,..,.,,.. . <br /> ,.�,l�i,..G,..��.�,�,�„�,�.,G,���,,,,,,,,, ,,,,,�,.,,��,.��4,��.�r������,�„o�i,,.�, . �cs ,� �i,,, � ,.a ,,„,,,� , �,.,..,,� . „�...,,,„„��.,.„��„ �,,...,,,,�.,,,,.,,...�„�„.,.,,.,,,.,„,,....,.,.,�.., ,,,,,,,,,,,,,,,.,,. <br /> .,�,Iele.wp�r���L��•��.,�„��ri�a.l�,�,�1.��.1�,i�.nlel.�;l��iu�a�r�i,��i,r,�.i�.�„���i.�����,�,���,�i„�� . � �� ��.� . . I . �",� ,I�,� I I.. „� ,,,,I.i ��,.���;��':61YICrI,I,iirL,�����l��;i"I���I�lii:�i;ii;w�l;,���li�'i�'i��'il:l�.Y�'�Yi:«�G�i.11�dl6li`��I:�;n;��l,��'ll <br /> ,,,,.,�,„��u,��,�„���,,,,�,,,,,„�,,,,��,,,�.�,,,,,,,,,,,,,,TYPE�;OF::PER�I�T CheckAl�That.,A I w,� ���.�� �,wl,��.���,„�,��.,� .�;�. :u��,���,�,,,,, <br /> �,,,.,.,,I„��.,,,,,,��...�,,,.,,.�,,,,,�,� � � � pP Y),,� !,.�.,:,,� i i� „ <br /> ��.�I,� �.i�. ��I..� p iif��, .��w�. . I,i�„��I�II;li1�.��.,�,�i.��,.�.1�,�, <br /> h,�.�„ „,�.n�„ ,�,,.,,n,�..,�,.,�,v�..,�,..,� ,.,�� .. ...,,�.,.,. .,..., . ,P�r <br /> ,��„ �.,,�.�,�..,�,,,,,, � ����,.�., .�r�� ,. <br /> �F�esidential ❑ Commerciaf (Approval Required) (Back�low laevice:�AVB �]PVB] <br /> �lew 0 Additional [� Repairs 0 Replace <br /> ❑ In Accessory Structure? <br /> '1�ou will_need prier aQproval and may need CUP. (Per prono City Code, Chapter 78, ArEicIE 11n <br /> ..�i4.�'.I.i. � . iyl�I:' .I�:�I11..'��I'�i�::.il'�':�i..:::�i .�n�:�i. iin�r �Ill�llil'lll��'ill4�l�ii�iil!��Illill���� <br /> � ii 'i�ii..i...�i�iv�i.J`iiinlillll{ I I I�li.i.�i�n�'.i. � I I <br /> ;:Job„' . ., , nformatiorr� �.......I , <br /> .. ..,,, ,-�Qwner,.�...,., , �.,.,. . �"?���!:�I„�.,.�,,,�.�,„.,,,:.�:.,,,,�„�, <br /> ;..,.. � 5ite, � � ,,: <br /> Site Address: ��50 Q�� �� � _ __ __ <br /> Owner:�,�a ,,,�1� �,���w..�.v Mailing Address: <br /> City: Zip: SS 3 5� <br /> Home Phone: ��,�=a�g - 939 S Alternate Phone: <br /> :Cont'ra'c't'or�ifnfo'rmafion'��; �,�,�;'�iil:'.,;�,,;,. ,���:�;�����:� �,:,�,:�;��,,��: <br /> i,.i ,i, ii„c.,i.� �ii��:. �';'I';;;;., <br /> tf f' <br /> Con a ..� ... ..... . . . ..„ ......,, ,,.,,�:,,..;,.,�,., ,,, ,. <br /> cto . _ .��Li AN WAT� , GUrvhiT�c�NrN�ontact Pers�n: d1►ti, <br /> `�. 603d CULLIGAN WAY <br /> Address: INN�T N M State Bond #: <br /> . (9:i2) 9�3-7200 <br /> City: Zip: Expiration Date_ <br /> Phane: Alternate Phone; _ R5a �� I ��� _ <br /> ❑ Insurance -- Current: <br /> Page 1 <br />