Laserfiche WebLink
. _, b ���, <br /> / _ <br /> CIT�' Q� URONO APPLICA7CION FOR PLLTMBING FE <br /> �lox 66 (2730 Ke11ey Parkway) � �T <br /> �rYsta! Ba,v, 10�IN 55323 <br /> GENERAL INFORMATION � . <br /> 1• You may aPP1Y for plumbing permits b�mail or in person at the City ��ces, <br /> 2• Permit cards wil1 be sent by return mail after a review is cumpleted. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE A PERMTT, WpRK:MUST NOT BEGIN UN'TIL THE PERMiT�a� Is <br /> POSTID ON TH�JOB SITE. <br /> 3' Plumb�ng Permits may be issued ONLY to licensed plumbing contractors and to ro <br /> in the dwelling. P �rty owners residing <br /> 4- When any new construction or remodeling is involved, a sepazate building permit must be obtained. <br /> : 5• . All work must be done in accordance with t}ie State Code requirements. <br /> 6• All work must be iaspected, and air tested before it is coveFed. Ca11473-7357. 24-hotu'nptice requued. <br /> Insfruction,� Co�plete all item5 on ttus application. Com ute the , <br /> . the certificatiau. INC011�'PLET�ApPLICATIONS WILL NOT BE ROCFSSFD�If ou have <br /> c}uestions, call 473-7357. Y <br /> Please check one: New Addition <br /> Repair _ Replace <br /> �Residential Commercial� <br /> Jas srrE:_ �02 ����`��� ,��'.�' i , SS3�i <br /> Owner's Name: ` ZjP• <br /> �`^� � �" a TelephoneNumber: <br /> �a1�lllgA(�f�l'@SS' }�, .� �d'�''�T�Q.'y'/ <br /> + _ Ct`'.�•.Q/"d+�s e! �il . <br /> Carntractur'sName: � TelephoneNumbe r� <br /> MailingA.ddress: a y� � , o���.'` Cityr y `:.�w• Zi ��a—��-��o <br /> !• � � � <br /> ' PL�F�TURE SCH�DIJLE <br /> FIXTUR.F BSMT 1ST 2ND OTHER FTXTURE <br /> TYPE FL gL BSMT 1ST 2NA OTHER <br /> '1'YPE FL F�, <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower <br /> Washer <br /> Kitchen Sink Water Heater <br /> Disposal <br /> Water Softener <br /> Dishw.,sher Wet Bar <br /> —._, <br /> Sillcocks <br /> Misc (list) r•c ca � � �a-c:,��C <br /> �dd� �d't�x�t�/ 4`�`� ��a3 62 <br /> ��r`�/fs`�lc� <br />