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i <br /> t <br /> C1TY OF UIZ.ONO APPLICATION FOR PLUMBING P�RMIT <br /> �ioY b6 (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> GENERAL INFORMATION <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 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 /> POST�D ON THE JOB SITE. <br /> 3. Plumbing pemuts 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 /> Instriiction,� Co:npletP all item5 on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOT9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: I�Tew Addition Repair Replace <br /> ✓Residential Commercial <br /> JOB SIT�;: /DZy �,G�T-�I-�G�it/� Zip: <br /> Owner's Name: Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractc►r'sName: ,�p�ip��E-_ /�vc. TelephoneNumber: �63. ya� 26Y,� <br /> MailingA.ddress: /�l� �3��i�/i�-�/. City: pJ' Zip: Ss � <br /> P9�/G- <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURf: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL f <br /> � <br /> Water Closet Floor Drains � <br /> � Lavatory Sewer Ejector � <br /> Bathtub f Laundry Tray � <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw��sher Wet Bar <br /> Sillcocks Misc (list) � <br /> .� <br /> i <br /> i <br /> � <br />