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� CTT'Y OF 0120N0 APPLICATION FOR PLUM$�TG PER�'VIIT <br /> Box 66 (2750 KeIley Parkway) <br /> Cr�stal Bay, M�1 55323 <br /> (:Ei�1ERAT,�INFORMAT'YOI�[ <br /> I, you may apply for plumbing permiu by mail or in person at the Ciry offices. <br /> 2. Permit cards will be sent by recurn mail after a review is completed. P�RI�IITS tLRE NOT VALTD UNTIL <br /> YOU REC�IVE A pERiviIT. wO1tK MusT_�voT BE�nv ti'r�TiL T F_PHRMIT CARD 15 POSTED ON <br /> TH�$ STTP- <br /> 3. Plumbing permiu may be issued ONLY to licensed plumbing conuactors and to propeny owzurs residi.n� <br /> in the dwelling. <br /> 4, When aay new constnicdon or remodeling is mvolved, a separate building permit mus�be obcai.ned. <br /> 5. All work must be done in accordance wirh the: State Code requiremen[s. <br /> 6. A.11 work must be inspec�ed and air tested t�efore it is covered. Call (952) 7A9-460Q. 24-hour nocice <br /> required. <br /> Instructinns Comptete all items on this application. Compute the permit fee. Sign and date tl�e <br /> certification. INCO�IPLETE APPLICATTC)NS WII.L NOT �E PROCESSED. If you have <br /> quest�ons, call (952) 249-4600. <br /> Please check one: � New _ Addition Repair Replace <br /> � Residential Commercial <br /> roB sz�: �� �c.k� r�r� ��, z�p: 5 35 <br /> Owner's Name;�� rsZ-�k-e._ k�a,10 �o c�,� Teiephone Number• �S�. - y-��7�, `-7(�,(„g <br /> Mailing Address: �`�cr `�— City: .Zip: <br /> Contractor's Name:� � � � , Telephane Number:��=?, ��� <br /> MailingAddress: n ���Cit�: rvC� Zip: S �� � <br /> PLT.MBING FIYTTJRE SCTi'EDT_TLE <br /> FIXTURE BSMT 1ST 2ND OTH]:R �TYTURE BSVIT 1ST 2ND OTFIER <br /> TYPE FL FL TYPE FL FL <br /> 'Water Closet F1oor Drains <br /> Lavato Sewer �jector <br /> ����b Laundrv Tra <br /> Shower V�/asher � <br /> �K.itchea Sink Water Hea�er . <br /> Dis osal Water Softener <br /> Dishwasher Rlet Bar <br /> Sillcocks Misc (list} <br />