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C1TX OF UIt�1�0 APPLICATION I'OR�LL'�-�BINI����� <br /> llux 6� (2750 K��lley Parkway� . FE� 1 0 1997 <br /> Crystal �ay, MH 55323 , <br /> c�r� ��c������ <br /> �.�x�:R.�.��i�i� <br /> �, You may ap�ly for plumhing permits hy �'�ait or in persan xc cne Ctry c�f��e�s. <br /> 2, �ermit cards wi11 be sent by return mail aftcr a r�view is completed. PERMITS AR� NUT VALID <br /> UN1'll. Yt)U RE.CE'sl�'� A PERMIT. u'URK MUST NOT BECiI'�1 N�1L. THF PERMIT G•AI�U_ S <br /> POST��4)N TH�. 7UB SI . <br /> 3, Nlumbing perma:s tnay be issued UNI.Y co licensed plunlbina contra;tar5 and to gropercy owners regiding <br /> in chc �Jweliing. <br /> a, VJhen ar�y new consiniction ur remodelin�, i� involved, a sep�rate building permit must be ohtaineci. <br /> s, qp �rork I:lust bc done in accordance witl� the 5tate Code requiremt'nts. <br /> 6, Afl work ritist b� inspected an3 air tested befcsrc it is cn��ered. Ca11473-7357. Z4�hour notiee requ:red, <br /> �struc�g Cca:nplete all it�ms on this a;pplicaiion. Compute the permit.fee, Sign and d�te <br /> the eertificxtioit. INCUMFLETI: APPI.ICATT4NS WILI�I�'dT BE PR(7CESSED. if yau have: <br /> que�tions, call a7'3-7357. <br /> Pteas� chec <br /> i: on��: New _ Addition R.epair � Replace <br /> ��Residential �ommerc�al <br /> 30B SI'Y"r�:,_____���� It-k-z' �-�� ..._`��� �- .—..��� w -- z'�' �5���--__ <br /> Uwner'�1�'ame• _�-le;� �rd�Q-v�� _Tele�honeN►Ember. �-i� I- ���.�- _ <br /> U— — , : �"�3�1� <br /> Mailin�Address: ��� nxr��_5t���e 0��.,,._,_,... City: v:_�n ,, � Zfp �� _. <br /> _. <br /> C�ntr�ct���r'sN��me:� �l„� r`��� ,i._..�i���-� _�.�._- �TelephoneNumber�_ y5� 133�7 -- <br /> Mallii�gAddres:�: 9��� S� � Y�`v �-- �Cet.y: 5c> �;� ����I _Zip:_ 5`x�15 ...,. <br /> ✓���� � <br /> � <br /> P�LIMBINt� l�IXTUR.E�CN�P E <br /> FJX`it1RF. BSMT 15T 2ND OTI�iER TY�RE BSMT 1ST 7.ND OTHE,R <br /> TYP� FI� FL FL f�L � <br /> Watet Closet Floor Dr�ins <br /> Lavatory Sewer �jeclor <br /> ��i�thtu�b � I.,aundry TraY T-- <br /> 5hower Washcr <br /> Kitc:hen Sink Water �ieater <br /> ^� Water Softener <br /> Uispos<<I <br /> Ui'� shwi altcr Wet Aar <br /> Sillcocks Misc (list} <br /> �.,_. _.—. <br /> � a <br /> � � <br /> --------------------� <br /> ---�-------------------- - <br /> -------------�----------------------------------------- . <br /> - --.- - .n�i�znc�n n�/t17/Q7 1�•L�h n3/03 NO'2�3 <br />