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3 <br /> I � <br /> CITY OF UIt.ONO APPLICATION FOR PLU'�IBING P�RMIT <br /> }�os 6b (27�0 Kelley Parkway) <br /> Crystal Say, NIN 55323 <br /> GENERAL INFORl�iATION Y <br /> v <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Pemut cards will be sent by return mail after a review is completed. 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 pernuts 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�,� Co:nplete all item5 on this application. Compute the permit fee. Sign and date <br /> the certificatiaii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> .� _.-�_ <br /> Please check one: New � Addition Repair Replac� <br /> esidentia t Commercial � <br /> , <br /> JOB SITF,: ��� ���� L� Zip: <br /> Owner'sl`�1ame: :��, 5 1ne�.s�� � d�. TelephoneNumber: �'7 j — �7 71 `� <br /> , <br /> Mai CUSTOM PLUMBING INC. CitTele honeNumbe r. y�-( �1 - �' I `i'7 <br /> Con 2105 Daniels St. Cit . p Zi '� <br /> Mai P.O. Box 694 y• P� ; <br /> Long Lake, MN 55356-0694 rURE SCHEDULE <br /> LVl�1L11\V l�ll> <br /> ."•� <br /> � <br /> FIXTUR.E 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 eater � � <br /> Disposal ater oftener <br /> Dishwssher We� B� <br /> Sillcocks Misc (list) <br /> ��,����- � �. ��O �'/ <br /> . <br />