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. <br /> C1TY OF�ORONO APPLICATION FOR PLLIMBING P�RMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cards will be sent by return mail aftcr a rcvicw is completcd, PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL 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 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 473-7357. 24-hour notice required. <br /> Instructioi�,� Complete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOI��PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition � Repair Replace <br /> ' ' Residential Commercial <br />� �- <br /> Jos srrE: �� � � � �� r�� �,�, /�L� � � zip: �5�..�.�6 <br /> Owner's Name: � � Telephone Number: y7 3 o2�Z Y l-1 � <br /> Mailing Address: �;;Z - az�.x, f�� City: E�i'<<�c� Zip: ���.�`'�� <br /> � <br /> Contractor'sName: ,� � �� ,��.�,.��;, ,a�i�.��TelephoneNumber: y��56.�,F <br />� MailingA.ddress: .-�r�,� - �7���{ ��� / City: �- /� ,� Zip: S�'���3 <br /> PLUMBING 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 /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwt�sher Wet Bar <br /> Sillcocks Misc (list) � ���] <br /> C U�1 7 � ��,ll�l�c..c r��� �-�— ��/��.�lr�-- <br />