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C <br /> ,� Io3�� <br /> �1�� OF t�Il.Ol�dO A��1�..ICA��Ole1 FOIt�F�.�TIi�Il�G PE�IVIIT <br /> �B�x 66 (2750 Kelley Parkway) <br /> �rystal Say, NIN 55323 <br /> GENERAL INFORMAT'ION <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 PERMTT 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. Cai1473-7357. 24-hour notice required. <br /> Instructioii, Coa�plete all items on this application. Compute the permit_fee. Sign and date <br /> the certificatioii. INC011�PLET�AFPLIGATIONS WILL NOTBE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: � New Addition Repair Replace <br /> � Residential Commercial <br /> 3�B SITE:_� . �,v�.��e�-��'�1 Zip; <br /> Ow�er'sName:��,�,�,� {��>.�.�-.- TelephaneNumber:` <br /> Mailing Address��;�mr�{,��,,,�. c�. City: Zi ._� � <br /> P' � ] <br /> Contract�ir'sNam . �- , Teleph eNumber: q��-�7�� <br /> MailingA:ddress:t�ue�(�c�.'�,��,.s�-a��;�.d,. CrtY:�, Zip:-���>� <br /> , <br /> P�.�JMBING �IXTURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE 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 � ` Washer ' <br /> Kitchen Sink Water Heater � <br /> Disposai ( Water Softener <br /> Dishw.,sher � W�t Bar <br /> Sillcocks Misc (list) <br /> , � t-ic�r,�t�n <br /> �' �`��,���►ns <br />