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_� � ���a`�'� <br /> C1TY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT - <br /> e, <br /> }S��x bb (27�0 Kelley Parkway) R <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 cazds 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 /> POST�D ON THE JOB SITE. f <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing S <br /> in the dwelling. <br /> 4. When any new construction or remodeling is involved, a sepazate 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 eovered. Call 473-7357. 24-hour notice required. <br /> Instructioi�,� Co:npletP all item� 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 /> JOB SIT�;: �3 �U �P S�- l"d ���- -�z�-�; "',�, _ Zip; �S S G�/ <br /> Owner'sName: 13 � ;P 5 , J���-, � I�u vs�TelephoneNumber: w >z� �,7 �5 ; <br /> MailingAddress: 5 u.ti..t City: f?� ��µ�--�� Zip: ` <br /> Cantractr�r'sName: vi c e t'/u�b. TelephoneNumber: ��1 �7 - �/�')5 <br /> MailingA ddress: y 3 �i D o� �(� C� �e City: /���;,,, K Zip: 5 5�? y <br /> PLUMBING �'IXTURE SCHEDULE <br /> � <br /> FIXTURf: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains r <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink � Water Heater <br /> Disposal ' Water Softener <br /> � <br /> Dishw«sher Wet Bar <br /> Siilcocks Misc (list) � �' <br /> Cvo� Tc�•— G � 5 <br /> ���r�� <br />