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� <br /> ` �- � p 3 �� <br /> . <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> �ox 6b (27�0 Kelley Parkway) <br /> Crystal $ay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing pernuts by mail or in person at the City offices. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing pernuts may be issued ONLY 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 473-7357. 24-hour notice required. <br /> Instructioi�,� Co:nplete all items on this application. Compute the permit_fee. Sign and date <br /> the certificatioii. INCOn7PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair � Replace <br /> Residential Commercial <br /> c ' I <br /> JOB SIT�;• � �� 1 t�����:���-�v � �, � � � Zip: <br /> Owner's l�iame: ��.}�;t Sc���,c� Telephone Number: y y� - �` '� y'� <br /> Mailing CUSTOM PLUMBING INC. —City: �� Zig: t <br /> Contrai TelephoneNumber: �(y � - �� f �'7 <br /> 2105 Daniels St. City: Zip: <br /> Mailing P.O. Box 694 , <br /> Long Lake, MN 55356-0694 ,E SCHEDULE <br /> FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE � FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater � � <br /> Disposal ater Softener <br /> Dishw.�sher Wet Bar <br /> Sillcocks Misc (list) <br />