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C�T'I' QF Q��NQ �PPF,ICA�I�N F�R PLLT1�Il�r1G FERMIT <br /> Box G6 (2750 Kelley Parkway) <br /> CrystaI �ay, h�INN 53323 <br /> GENERAI,INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL <br /> YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON <br /> 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 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 tested before it is covered. Call (952) 249-4600. 24-hour notice <br /> required. <br /> Irnstructions Complete all items on this application. Compute the permit fee. Sign and date the <br /> certification. INCOMPLETE APP�,ICATIONS WILL N4T BE PROCESSED. If you have <br /> questions, ca11 (952) 249-4600. <br /> Please check one: New �,Addition Repair Replace <br /> _� Residential Commercial <br /> JOB SITE: (,�'� (�►�Y1ec. �..i ��. �rp�Y1.� Zip:_,��, '?j�� <br /> Owner's Name: TelephoneNumber: <br /> Mailing Ac�dress: i t�L�� t ,r�� � _ City:_ !�'c� ZiP.�?��. <br /> Contractor'sName: i TelephoneNumber: ��a1- �"]►�-C�� <br /> Mailing Address: -�- r Zip:_ - � (ot�- <br /> FLIJI�ISING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavato Sewer E'ector <br /> Bathtub Laun Tra <br /> Shower � Washer <br /> Kitchen Sink Water Heater <br /> Dis osal Water Softener <br /> Dishwasher Wet Baz <br /> Sillcocks Misc (list) <br /> � � ��- ��;�c��,-��� — ���e� i � c�� <br /> 1�G l�--��� r � � � <br /> �� � � <br /> � � � <br /> � . � c� �c� � <br />