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�u�-ua-cuuc ��:oupm FrartrClTY QF QRONO +6322464618 T-58U P.�O1/��2 F-730 <br /> � <br /> ��'X 4F Q1ZCyN'O AY�PI,�CAT'YdN�'OR PT,UM�t�TG��T <br /> Box 66 �275�T��l�y ParkwaY) <br /> Cry�t� �i�ty, MN 55�23 <br /> G,�AL iN�'t�RMA7*,�ON <br /> 1. You may apply for plturtbi�g permirs by ma.il ar in pers�n�t the City oP�tces. <br /> 2. Per�nis cards�vili be s�u try�eequu mai.i after a reviaw is com�,letad. PERMITS A�E NpT ypi.�LT�YL <br /> �o�r�c�vE�.��rr. r rr �a Y �, o <br /> TFTE]'OB 'I' <br /> 3. FZumliing�ermfts may be issued ONL'Y to 3icCnsed plumbing caxttractors and.[o properry awners residisi� <br /> in rhe dwelling. <br /> 4. When any new�ouattt�ctfon or remoQeling is involved, �,separate buii��g Pe�must be ol�tai�30d. <br /> S. A,1�work must be done in&Goordanca wlrl�t11�Stste Cade requizernents. <br /> 6. Ali work m�s� �i� itl�pEet�ci ar►d air c�sted befare ft ia �ovarad. Call (9S2) 249-46U0. 24-hour aotice <br /> r�quir�d. <br /> n�trnct'�ons GQ�plete all icems o�,thi,s applica�ion, Compu�e th�permix fee, Sign and d.at�t�,e <br /> cercifcat�Qn. IN�aMP�.ETE APPLI�ATIOIV� WILL NOT BE PROCESSF�,U. If y��. have <br /> questions, cal� (9S2) 249-q�Op. <br /> Pl�as� check an�; N'Sw Additio�, Rep�r �12eplac� <br /> �T2esic�en,x�a1 �` �o�,mer�ial <br /> J'O��T�. _��.� �;��i �I� C.r Z�P'__ ��- `i / <br /> , , <br /> Owner's Name: ' �.1_�tu , J��� i,�'t��l�-t S Tele hone : � "�" � <br /> , p Nunq�ber � -_4 __2�2� <br /> 11�ailing A�dress: 3 C%r_r� ���t�} i�:,f� Cr � City:C,x-�,n� Zip; �� ° <br /> �S_3 i I <br /> Co�tractor's Narne: , P v,�K 5 Te�ephone�'uanb�er:(��i-�3� 5 l:;z�v <br /> . <br /> Mailin,�Address: J <br /> , . <br /> 3lv"!f� �j,�D R D G'�ty:��+��W��1 Zip; �S �2� <br /> , , � - <br /> pLCll�nvc=FiR'�'XJI2.L �'�'s�� <br /> �rXTC7R� �SMT 1ST 2ND 0'TH�k FiXTURE BS;1�T iS'� ZNll QTH�R <br /> TX�'E FL lI. T'YFE FL i��. <br /> Watar Ctoset Floor Dr�i�us <br /> I.avato Sewer E ector <br /> Sachzub L�t�.n Tra <br /> Shower Washer <br /> Kitchen Sink W�tcr�eater <br /> Dis oaal Water SoPc�r <br /> Dishwa�tler �Vet�ar <br /> SiTlcocks Nlisc �ist) <br /> �.:�Ar . <br /> ; <br />