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CITY E2�' E)I�.�1�TQ� ��I.I�AT�ON FO�PLiJ1V�B�PTG PE1t1VI�T <br /> Box !� (2750 Kelley Parkway) <br /> Cry�ta! Say, 1V�riT 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the Ciry offices. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE 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. Ca11473-7357. 24-hour notice required. <br /> Instruction� Coaiplete all items on this application. Compute the permit.fee., Sign and date <br /> the certi�catiou. INCOIVIPLETE APPLICATIONS WILI,NOT BE PROCFSSED. If you have <br /> questions, call 473-7357. <br /> Please check one: >( New Addition Repair Replace <br /> �_ Residential Commercial <br /> JQB SI�'E:�to5 �uir�$�C�-��! °0� Zl�; <br /> Owner's Name: - „Za,r„� ��,,;.\�.�.,� �'elephone Number: <br /> 1VlailingAddress:E'So 'SD. �ra�,�� City:l�a Zip: SS'S�$� <br /> Contract�r'sl�am�. \ Tele�h eNumber: ��-���� <br /> MailingA.ddress Cit • <br /> Y• t�r�iCo\, ZiP��'�3�k�' <br /> , <br /> PLIJMBIN� FIXTURE SCI�EDULE ; <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sT 2ND , OTHER <br /> TYPE FL' FL TYPE FL FL <br /> Water Closet Floor Drains � <br /> Lavatory � . e <br /> f <br /> Bathtub Iaund�'ry'��ray , ,� <br /> Shower Washer <br /> Kitchen Sink Water Heater : � 1 <br /> Disposal Water Softener; <br /> Dishw�,sher � ' Wet Baz <br /> Sillcocks Misc (list) � <br /> � 9 OGC�r�in� <br /> � - �p a�...��,a��� <br /> e _ �� <br /> ��'��t� f:�, �,,,�4� <br /> �-- �,v,�.:A° � <br /> �ficQ. <br />