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CIZ'�' OF �YtQl�IO ��E.ICATI�N F�It FL�TIVI�ING P�1�I'I' <br /> �ox 66 (2750 I�elley Parkway� <br /> Crys�al Bay, MN 55323 <br /> GE��L,I1vF���'�ON <br /> 1. You may apply for plumbing pemuts by mail or in person at the Ciry o�ces. <br /> 2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL <br /> YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PEItMIT CARD IS POSTED ON <br /> THE JQB SITE. <br /> 3. Plumbing pemuts may be issued QNLY 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. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice <br /> required. <br /> Instructions Complete all items on this application. Compute the pernut fee. Sign and date the <br /> certification. INCOIVIPLE'FE APPLICA`�'IONS V�ILL IVOT BE PIZOCESSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: � New Addition I�epair I�eplace <br /> Residential Commercial <br /> JOB SIT'E: 1 � �D ����J �`�'• Zip: <br /> Owner's Name: ��ezL� � �Lm� Telepl��r�e 101�t�e�: <br /> 1VYaiiing Address: City: Zip: <br /> Contractor's Naane: ��, ��� �� �� T'eleghone Number: ���-��c�-�c�`�f� <br /> 1Vlailing Address:/�i9 �5�� .4,. ,� �,�,1 City:�nc�o�A��, �ip:5 S3 0 �s <br /> PLLTM��1� FIXTI.TItE SCI�EI)U�.E <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavato Sewer E'ector <br /> Bathtub Laun Tra <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Dis osal Water Softener t <br /> Dishwasher Wet Bar <br /> Sillcocks Misc (list)�e(� �- <br /> � n ,` <br /> ���� `� � 4�� � � <br /> y � \ �"� <br /> � 1�%' <br />