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Jan-Z.�-2005 10:48am From-CITY OF ORONO +9522484616 T-466 P �02/003 F-033 <br /> t '� � A, <br /> CITY OF ORONO APPLICATTON �'OR PLUI-IBL'�1G PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> G��IETtAL IlVFORM TI N <br /> 1, You may apply for plumbing permiu by mail or in person$�the City offices. <br /> 2 Perm�L�r E1VE A pERM T e W QR�MUST NOT BES IN UNTI TH£PBR1�tIT�ARD S PO D�D OIN <br /> YOU REC <br /> 'HE JOS S1TE• owners tesiding <br /> 3. Plumbting p��its may be issued ONLY co licenscd plumbing conuactots aad �o properry <br /> ,n�he dwelling. <br /> 4, When any neW+ construction or remodeling is involved, a separace buildwg Permi[must be obiained. <br /> S. All work must be done in accordance wich che Sia�e Code requirements. <br /> 5. All u�ork mus� be in4pecced and a�r tesud before it is covered. Csll (952) 249-46a0. 24-hour nocice <br /> required. <br /> Instructi�ns Comglete ali items on LiCa�TI�Ns WILL NOT BE P OCESSED n If youthave <br /> cercificacion. INCOMPLETE aPP <br /> questions, call (952) 249-4600. <br /> Addition Repair �Replace <br /> Please check one: �e�" Commercial <br /> Residential <br /> �y j 4� <br /> JOB SITE: 1 S�l�c�lc��a� (,%1�t.t.� �4� (�i6 E'�I�,�v �'1')l�� s�' Zip:� -3� ' <br /> Owner's Name. t l a 5 t'Y1 � Telephone Number: �S�'�'��' � <br /> - .� _ � City: � �F , ' � Zip:y S��L� <br /> vlailing Address: ��� ��'�'n ' } � _�� TelephoneNumber:`>iS� �8�- ����7 <br /> Contractor's Name:�-I-- ��r City: ��c.zc� Zip:_��G'/„� <br /> , <br /> Mailing Address:��D .�, �-Y 4'� �; p <br /> LY.1Vi ING FIXTL'RE SCHED E <br /> �,�g� BSMT 1ST 2ND O7HER FIXTURE BSMT pL ZFND I OTHER <br /> �ixT TYPE <br /> TYPE FL FL <br /> �loor Drains <br /> W aser Closet <br /> Sewer E'ector <br /> Lavato <br /> Laun Trav <br /> Bachnib <br /> W asher <br /> Showcr <br /> Wacer Hea[er <br /> Kitchen Sinlc ' <br /> Waur Softcner <br /> Dis sal <br /> Wet Bar <br /> Dishwasher <br /> Misc (list) <br /> Sillcocks � <br />