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� �i <br /> CITY OF OIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> }SoY 66 (27�0 Kelley Parkway) <br /> Crystal Say, 1VIN 55323 <br /> v�FNERAL INFOR1�iATION <br /> �� 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> ' 2. Permit cards will be sent by recurn mail after a review is completed. PERMITS ARE NOT VALID <br /> , �� L% UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> � POST�D ON THE JOB SITE. <br /> 3. Plumbing permits 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 /> Instructioii.� Co:nplete all item� on this application. Compute the permit fee. Sign and date <br /> t}le certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition � Repair Replace <br /> ��tesidential Commercial <br /> JOB SIT�:: S�C� /�.�,-i /�� �v� Zip: <br /> O�iner's 1'�1ame: Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractr►r'sName:/,eJ� l A �- S��rs �/Y��r�r _ TelephoneNumber: y�S-•v�g� <br /> MailingAddress: 3�s 5'�-�'��►-�r L�^` City: ���uJ%�f Zip: S��Y� <br /> PLUMBING �IXTURE SCHEDULE � <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTIJRE 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 Wasber <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw<�sher We� B� <br /> Sillcocks Misc (list) <br /> — 4` ��f/]c,�G'`'.L" 'c� /��L.� �C) � `� r`Z��`.� <br /> �' ��... �.� <br /> �� <br /> �� <br />