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. � � <br /> ` � <br /> CI'FY E�� Q1gE)1�TC2 �PLIC�iT'�O1�T Ff�R PI.LJl`vYB�IliIG �'ERM�� <br /> Bax 6� {2750 Kelley Parkway} . <br /> CrystaF Bay, PvIRT 55323 <br /> GENERA�L INFORMATLOIV <br /> 1. You may apply for plumbing permits by mail or in person at the Ciry offices. <br /> 2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII, THE PERMIT 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 ihe State Code requirements. <br /> 6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. <br /> Instructions Complete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOMFLETE APPLICATIONS WII.L NOT BE PROCFSSED. If yog have <br /> questions, call 249-4600. <br /> Please check one: ✓New Addition Repair Replace <br /> Residential Commercial <br /> � h <br /> J4� ��'E:__� t �' t'S � � �t�c � e 1l2 �Q !� F�L�-�- �rp: <br /> 4wner's Name: Telephone Number: <br /> Niailing �,.dtiress: City: Zip: <br /> CantractQr's 1`�ame: u. � �. � �elephone 1�'umber: �a p ��� � �,�� <br /> Mailing �c�dress: 3 p ` e�a3 City:�(�c`��� �c�ip: �'�'3 �P � <br /> gL�JMBING F'�K�UffE SCHEIJU�,E <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains � <br /> Lavarory � Sewer Ejector <br /> Bathtub (` Laundry Tray <br /> Shower ( Washer t <br /> Kitchen Sink ( Water Heatec � - �-- <br /> Disposal l Water Softener j� <br /> Dishwasher �. Wet Bar <br /> Sillcocks � Misc (list) � - ' <br />