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CTT'Y OF 0170N0 APPLICATION FOR PLUIVIBTN'G PERNIIT <br /> Bo�c 66 (2750 KeIley Parkway) <br /> Cr�stal Bay, 1VIN 55323 <br /> (;F�VE�tATr INFORMATTOI�I <br /> I. ^ Yoa may apply for plumbing permiu by mail or in petson at�he City offices. <br /> 2. Permit cards will be sent by recurn mail after a review is completed. P�I2MITS ARE NOT VALT�UNTIL <br /> YOU REC�IVE A T'$�2MIT. V✓0�2K_MUST NOT AEGIN iNTIL THF PERMiT CARD 1S pOSTED ON <br /> TH�70B STTF_ <br /> 3. Plumbing pecmits may be issued ONLY to licensed plumbing conuactors and to property owners residi.nb <br /> in the dwelling. <br /> 4, When any new construction or remodeling is��nvolved, a separa[e building permit musc be obtai.ned. <br /> 5. All work must be done in accordance wi�h the: Stau Code requiremen[s. <br /> 6. A.11 work must be inspected and air tested 1�efore it is covered. Call (952) 249-4600. 24-hour norice <br /> required. <br /> Instruc�ic►ns Complete all items on this application. Compute the permit fee. Sign and date the <br /> certification. INCOVIPLETE APPLICATTUNS WILL NOT BE PROCESSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: New _ Addi[ion Repair �2eplace <br /> Residential Commercial <br /> JOB SITE: �-,��17 7 �vr'� �}- �,��� L�1�i�l�.�c. Zip: <br /> Owner's Name: - I k.�� .��-� Teiephone Number: ��:� -y��,?-�z;z �` <br /> Mailing Address: City: Zip: <br /> Contractor'sName: CULLIGAi�! WATER CONDITiONINC�elephoneNumber: <br /> Mailing Address: 6030 �1 City: ZYp: <br /> , � <br /> PLY��U��:rU K N: SCT�EDULE <br /> FIXTLTR� BSMT 1ST ZND OTH]:R �T�'YTURE BSMT 1ST 2ND OTHER - <br /> -FypE FL FL TYP� FL PL <br /> 'Water Closet F1oor Drains <br /> Lavato Sewer �iector <br /> Ba[htub Laundrv Tra <br /> Shower VVasher ' <br /> Ttitchen Sin�: Water Hea�er . ( <br /> Dis osal Water Softener <br /> Dishwasher wzt�ar <br /> Sillcocls Misc(Iist) <br />