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. RF�Fi�F� <br /> . qU� 2 <br /> • CTT'Y �F O�20N0 APPLICATION FOR PLUlV�T�i T(���'2D43 <br /> Bo� 66 (2750 Kelley Parkway) �Rp� <br /> Crystal Say, IVIN 5�323 <br /> (`T�.AT 7NFORMATTOi <br /> I, Yoa may apply for plumbing permiu by mail or in person at rhe Ciry offices. <br /> 2. Permit cards will be sent by recum mail after a review is completed. P��'�IITS A.RE NOT VALYll UNTIL <br /> YOU REC�IVE A pER'1�IIT. R/012K_MUST NOT AEGIN LNTIL TH13 PERMIT CARD IS POSTED ON <br /> TH JOB SITp. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbins conuactors and to property owners residing <br /> in[he dwelling. <br /> 4, When aay new construcdon or remodeling is��nvolved, a separate building permit mus�be obtained. <br /> 5. All work must be donE in accordance wirh the: Stau Code requiremen�s. <br /> 6. All work must be insgected and air tested t�efore it is covered. Call (952) 249-460Q. 24-hour norice <br /> required. <br /> Instrucri�ns Complete a11 items on this application. Compute the pernut fee. Sign and date the <br /> certification. INCO�TPLETE APPLICATTCINS WILL NOT BE PROC�SSED. If you have <br /> questions, call (952) 249-4600. <br /> Please check one: i ,_ Ne�v _ Addition Repai.r I2eplace <br /> ,� Residential ^_ Commercial <br /> �OB SI'TE: J� ' � ' f�lC� ,� ;'�i� �p: �5 �C� �� <br /> Owner's Name: ,�; '� i l� / . ��/�:� _ TeIephone Number: �'i=�:� ����5%D�� <br /> Mailing Address: City: Zip: <br /> Contractor'sName: CULLlGAiti WATER CONDITfONINQelephoneNumber: <br /> Mailing Address: 6030 N Citp: Zyp: <br /> , , , <br /> PL'L��'�U���JRE SCT�I:DULE <br /> FIXTURE BSMT 1ST 2ND OTH1:R �T�'YTURE BSMT 1ST ZND OTFIER <br /> TYPE FL FL TYP� FL PL <br /> 'Water Closet F1oor Drains <br /> Lavaro Sewer �jector <br /> Bathtub Laundrv Trav <br /> Shower Washer � <br /> Kitchen Sinlc Water Heacer . <br /> Dis osal Water Softener <br /> Dishwasher wzt�az <br /> Sillcocks Misc(list} <br />