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�t��� <br /> CITY OE l.�IB:QN� AFPE.ICAT�ON FQR gI.�JMBING PER11�T <br /> }!ox b6 (2750 Kelley Parkway} <br /> Crystal �ay, 1VIN 55323 <br /> GENERAL INFORMA�'ION , <br /> L You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cazds 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 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 sepazate 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. Ca11473-7357.'24-hour notice required. <br /> Instructioi�� Coaiplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOI���LET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, ca11473-7357. <br /> Please check one: New Addition Repair Replace <br /> �_ Residential Commercial <br /> JOB SI'F£: `Z�S �7 Gt o� �c d�S �Q,c� Zip: <br /> : Owner's P�ame: ���y _ Teleghone Number: ;. �,�o �d� <br /> MailingAddress: L/6�'"/�cR..�P�Ls✓ �cs�'r City: do-a� v Zip;_�'�� <br /> Contractor'sName: ��' � TelephoneNumber: ,3� �—�� <br /> MailingA:ddress: .- ��s City: o �' Zi . � _. �o <br /> . <br /> 4�.�,i����.r. p�_-��� <br /> PL�JMBING FIXTURE:SCHEDULE <br /> FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE ' FL FL TYPE EL FL <br /> Water Closet `Floor Drains <br /> Lavatory_ , Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower " Washer` <br /> Kitehen Sinlc Water Heater <br /> Disposal ' Water Softener <br /> Dishw;�sher Wet Bar' <br /> Sillcocks Misc (list) <br /> �C�.��cJ.! �o'� vc-z 1'�d' Q�Q-d' <br /> � <br /> A�c�7 0�'�/'.�addes� <br />