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CITY OF ORnNO APPLICATION FOR FLUMBING PERNIIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFORNIATION <br /> 1. You may apply for plumbing permits by mai] or in person ac the City offices. <br /> 2, Permit cards will be sent by return 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 rested before it is covered. Call (952) 249-460Q. ?4-hour nodce <br /> required. <br /> Instructions Complete all items on this application. Compute the permit fee. Sign and date the <br /> certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: New Addition Repair �eplace <br /> ��Zesidential Commercial <br /> J�B SITE:. GRANDY,WILLIAM <br /> ' 1540 LONG LAKE BOULEVARD `; 'Zli1: <br /> 1 <br /> O+Kmer's Name: . _ � <br /> ORONO,MN 55356 ie Number: <br /> g (952)249-0434 <br /> Mailin- Ac�dress: �.��. ' Zip; ; <br /> Contractor's Name: c Telephone Number: (��z��z�-yc'.�� <br /> Mailing Address: 2qOS e�✓ -so, City;_�J�/S Zip: �'s���' <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE I BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE I FL FL <br /> TYpg I � <br /> .L FL <br /> Water Closet Floor Drains <br /> Lavato Sewer E'ector 5 <br /> Bathtub Laund Tra <br /> Shower Washer <br /> Kitchen Sink Water Heater � <br /> Dis osal Water Softener <br /> _ <br /> Dishwasher _ Wet Bar <br /> Sillcocks Misc (list) <br />