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� � �. �� � v � i� <br /> . 3 � <br /> CITY OF UIt�ONO APPLICATION FOR PLUMBING P�RMIT <br /> }�oY 6b (27�0 Kelley Parkway) <br /> - Crystal Say, NIN 55323 k <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Pernut 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-hour notice required. <br /> � Instructioi�.� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatiaii. INCO:�7PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> �. <br /> Please check one: v New Addition Repair Replace <br /> Residential Commercial <br /> ,. L,�)��C�z�'��'s�.�� �� <br /> JOB SIT�;•�--��a-P ��T���� c'��c��n �'� �' Zip: S���� <br /> Owner's 1`►1ame: ��.t.��c�e��.�_Telephone Number: � <br /> Mailing Address:��,.�� .���c ���� �a- City: L;c�,�-� Zip: SS"��� <br /> Contractcrr'sName: �_� TelephoneNumber: �,'��- ���� <br /> � MailingA.ddress: �,�o City: Zip: <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TY E FL FL <br /> Water Closet Floor Drains � G.� �� � <br /> - Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Sof[ener <br /> Dishw�sher Wet Bar ` <br /> Misc list �"'' � � ��� ca�C� <br /> Sillcocks � � ) le <br />