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2005-P09268 - vacuum breaker
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3085 Jamestown Road - 28-118-23-33-0010
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2005-P09268 - vacuum breaker
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Last modified
8/22/2023 4:24:20 PM
Creation date
3/21/2017 12:06:02 PM
Metadata
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Template:
x Address Old
House Number
3085
Street Name
Jamestown
Street Type
Road
Address
3085 Jamestown Road
Document Type
Permits/Inspections
PIN
2811823330010
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Updated
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� � � ��J,��Oic'l�'l4, /''�N,!✓S • <br /> W <br /> CITY OF ORONO APPLICATION FOR PLIJI�iBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, l�IN 55323 <br /> GENERAL LYFOR�IATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.. THE PERMIT CA.RD 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. When any new construction or remodeling is involved, a separate building permi[ must be obtai.ned. <br /> 5. All work must be done in accordance wich the S[ate Code requirements. <br /> 6. Aii work mus� oe inspeaed and air tested'oefore it is covered. C�I 24y-�+o00. 24-hour notice required. <br /> Instructions Complete all items on this application. Compute the permit fee. Sign and date <br /> the cert�cation. INCOMPLETE APPLICATIONS WII.,L NOT BE PROCESSED. If you have <br /> questions, call 249-4600. <br /> Please check one: New Addition Repair _ _Replace <br /> �_ Residentia Commercial <br /> JOB STTE: �G�� Tt7�v''��5-�-�,•.�1� -��,���� (��J.�v �'U1tii Zi ;i S�5� <br /> �` P; <br /> Owner's Name: ' ��,n Telephone Number: <br /> I�iailing Address: r�� ' e.. City: Zip: <br /> Contractor's Name: Telephone number: <br /> Mailing Address• �$K�Itti'10 ��,: Zip: <br /> . [ `��'� <br /> PLUMB� SCHEDULE L�L��4�:� `1 W���� <br /> FIXTURE BS�1T IST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> — _ _. _. �--- <br /> Wacer Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> �� (..�iJ1M <br /> Sillcocks Misc (list) , -p�. ��— <br />
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