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// <br /> � `�� <br /> ✓� <br /> � <br /> CI�'� O�' Q�It�1�T� APg�C�T�I�I`�FOTt P�,�J1�Il�C �'ERN�T'r <br /> Box 6b (2750 Kelley Parkway) <br /> Caysta� �ay, h�T 55383 <br /> GENERAL I1�FORMAITON <br /> � L You may apply for plumbing permits by mail or in person at the Ciry o�ces. <br /> 2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE A PERbIIT. 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 properry owners residing <br /> in the dwelling, <br /> 4• �hen 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 tesced before it is covered. Call 249-4600. 24-hour notice required. <br /> �nstt�uctiorts Complete all items on this applicatian. Compute the permit fee. Sign and date <br /> the certification. IlVCOMFL,�1'E APpI,ICATIONS WILL NOT BE PR�CFSSED. If you have <br /> questions, ca11249-4600. <br /> Please check one: �New Addition Repair �teplace <br /> _� Residential Coanmercial <br /> 30B S�s � �(1/`�{�/"J /�S� �i : `�S' Ca <br /> Owner's Name• .� g 5 �' � <br /> o Telephone Niamber: �3.5= �a� � <br /> 1Vla�ing �ddress: Z�-- �.�. � � City: D��--*�� �iP s _�3'3-�cA <br /> Contractor's l�iamea J tIGS �'eiephone N�unber: g3���3 4 <br /> �Iailiag Address• _�D�- t'j� q�,�,� �/. City: Zip:_ S5'34�3 <br /> I'�:UMBIN� rl'�XTL��' SCI3�EI�ULE <br /> FIXTURE BSIVIT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TypE g�, pL <br /> Water Cioset Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Lanndry Tray <br /> Shower Washer ' � <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Misc pist) <br /> d��Fl�w -� r,.�,���Y�� <br />