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04/18/2013 18:45 FAX 7634773629 f�008/008 <br /> �a� c��o�o �� �,c�,Y � <br /> P.O.Fknc fi6 Dr� I Prrrnit A "� �V� <br /> � 2790 Ke1l�y Pp�wmy <br /> Cryatsl Hap�,MN SS323 Appt�rvadBp: Amo�mt S: <br /> (952)249�4600—Medri <br /> `S� 1� (952)249-4616�F�c <br /> � CiTX QF QRQNQ—PLUMBING PERMTr <br /> r�k s y oa�` (AIl Cdanme�cial Pe�mi�Mnst be ApprovM 6y t4��e Prior tio City Ap�o <br /> h :lfwww,Vli.m ov C 1 nr � df <br /> G�x�,n�ox��a�r <br /> 1, Xou maY aPPI�'for plum6in8 Pe�mits 67'mait or in parson a!the City offices_ Applicatio�will <br /> revievired and a pezu�it witl be issued within tvro work'rng days. <br /> 2. Permit c8rds wil!b6 s�1t by�turn mail atbtx a r9view is�pletod. PB,RMI'1S ARE NQT <br /> Vt1LID UNTB..YOU I�C�'VE A PERMIT. NO'I' <br /> P��CASD Ifi POS'I"Eb ON'TH�dQ��i1T�. <br /> 3. Plumbing perntib�;ey be issued ONi:Y�n licensed plumbing co�hactors and to propertY ows� <br /> residit�g in the dwelling_ <br /> 4. Whea�atly new consbw�oa 4�rerstbd�li�g is imrolved,a�rate build"mg pe�uut must be <br /> obmined- <br /> 5. All wcsrk must be doae ir�accordeucei with State Code req�- <br /> G. All wrnrk must be itlispeG'�ed and au t�befo�re it is cav�ed. Call(952)249-4fi00. <br /> {Z4-4a hom'not�ce requirod) <br /> TY�`£s 0�PFRM[T <br /> Ch�c.Atl T'hat 1 <br /> '�ideatial ❑Coma�er�tisl(�►Pp�'avai Bequired) <br /> I <br /> ��NCw �Additiov�l Q�� L��P� <br /> ❑ Ia Accessory Struaure? <br /> *�lau and maY need C[Jl',(Per Orono Cily Code,C�apter 78,Article I� <br /> 3ob Si�te/Owuea'Informatit�u: �TI <br /> S1����: G �i <br /> �,,,�� _ �t�Aaa��: <br /> City: �p� <br /> Home Phone: Alterna�e Phwae: <br /> Conlrsctor Inf a�tion: <br /> � .,� � �'�O�oct Pca�on: � <br /> Cont�rracta <br /> Ad�sB: '� State Bond#: <br /> City: ,_ Zip.�717��'Expiration Uate: — — <br /> Phone: G��,.�..��"L:�D Alte�vate Phone: <br /> ❑ Insarance—Gurrent: <br /> 1 <br />