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' � 11/16/2013 08:00 9528947972 LAKESIDE PLUMBING PAGE 03/04 <br /> 1�OR"G'ITY'liS1;ONLY <br /> (���/�� City of prono `'' � <br /> T " V� P,Q,Anx 6h DntC R0001'JC�I: �'—� crmit 1f ��3'� ���0 �� <br /> 275o Kcllcy P�rk�vny ^' <br /> Crystnl f3¢y,MN 553�3 Ap�mvecl JjY: Amaunt$:�' S 3. 2�(� <br /> (95z)zaa_ar•ao-M,,n, <br /> -� �• (9,i7.}249-4(i1 G—Pnx "' <br /> y �' CTTX OF OR(�NQ-�'LUMi3�NG PI;RMTT <br /> � <br /> ���`r��,���`� (All Commercial Permits Mnst bc Approved by thc St�tc PCio1�to C:ily/�pproval) <br /> l�tt ://www,cili,mn. ov/CC�,D/PDF/ c tr�mb�lanreva �.�d�l' <br /> GE�i'C;�Ai;�N�'O�.M;�TfC�N .�� � � _ � <br /> __ ___. , <br /> 1. You tttay apply 1'or plutnUing permits by miflil or in person At Che City o'[Cccs. npplie�ttions wili bC <br /> reviewed and a perrnit will be issucd within two working day�. <br /> 2, Pctmit cards will bc sent by return m�il fli�er a review is complel:ed, PERMITS ARE 1�10�' <br /> VALID UiVTIL YOU RECEfVi; A PCRMIT. W RIC MUST Np'('a�Gi UNTIL Tiili, <br /> P�RMIT CE1,RA IS POSTED ON T�i�.TOB STT�. <br /> 3. Plumbing permits may be issued ONLY to Iicer�SCd�lumbing cont't'lctorS Flnd fo pr�perty owncrs <br /> residing in the dwclling. <br /> 9. Whcn any ncw construction or remodeling is involved,�.separate buil�iing per�rlil must Uc <br /> ohinined. <br /> 5. 11ii work must be dane in accord�nce with 3tate Cade reqt�itcments, <br /> G, nll work musk bC inspcetcd and air tested bCfore it is covered. Call(957.}249-4Gp0, <br /> (24-4$I�our noticc reqnired) <br /> Tv��,o�r.�RMt� � <br /> (Chccic tlll�Th�,t Ap,�1y�' ' <br /> (�RcsidenYiai ❑Com�tze��ci�l(Approva!Requirecl) <br /> ❑ New (]Additional �RE�11C$ ❑t�eplfloe <br /> ❑ fn Accessoiy Structur�7 <br /> *�`ou will need praor approvhl and may need CUP.(Per prono City Code,Chapter 78,Article 11') <br /> Jbb 5ite�Owr��r inf'or�r�ttion: <br /> SiCc/lddress: L C�O �dY�: �S��!`� <br /> Owncr: Mailii�g�1,ddress_ <br /> C�ity: Cj f�n� _� ,Zip: <br /> Flomc l�hone: Altcrnate Phone: <br /> Centraclor Info��rn�tion: <br /> C:ontractor: ��.�ef S;c� �1Re�.n:«-�" Contact Persoiz: �`c.� '�•.�S Sz l� <br /> Address: !l'-�l04 Z►r�(`4n IA�Q 5tate f3ond ��: ���g��Q l�'� <br /> City, �uJKT__ 7ip�.S�"1`� Lx}�iration�ate: 1 \� � � ...� <br /> Phone: �j SL-4�`��{'--'1���� �1,Iternate Phone: 1�-ct�°7 - 3 Z� '� <br /> Ci�surancc-Current�; � <br /> �.�_� ___ <br /> 1 <br />