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^ 1 C� � <br /> � � � <br /> CITX OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT� <br /> �tox 6b (27�0 Kelley Parkway) <br /> Crystal Say, 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 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 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-hou:a�tice ;equi:ed. <br /> Instructioi�,� Co�nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOMPLETE 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 /> .f-- � " p: �`� � <br /> Jos srr�: �'� �� ��t�.,.�-� �` ivr�r l,E z� � 2 <br /> Owner's 1Vame: i ��'Ll �, s '�L� Telephone Number: '�"---- <br /> ivlailing Address: ��� City: `�—`" ���: — � <br /> Contractor'sName:s�� V�1'L�a� �?1�1��4�1L( TelephoneNumber:�{�2��=7b. 12�`', ` <br /> MailingA ddress:r�-�C% ��C�-� �UC� ��tC� ity:t�X�'����`+�1(�-4' Zip: ti�">"?� ► <br /> . <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 I Laundry Tray <br /> Shower I Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw.�sher Wet Baz <br /> Sillcocks Misc (list) <br /> -- �.�1`��� � - <br />