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; <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> �ox 66 (2750 Kelley Parkway) ! <br /> ti <br /> Crystal Say, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing pernuts by mail or in person at the City offices. ; <br /> 2. Permit cards will be sent by retum 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. <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 item� on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INC011�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, ca11473-7357. <br /> Please check one: New � Addition Repair Replace <br /> � Residential Commercial <br /> JOB SITE: ��C� /�e.v�a.�l� L-c�—,�-� Zip: SS3 S� <br /> Owner's Name: �-�o� Telephone Number: 5��,3 .3 y3 Sl <br /> � Mailing Address: ,�c,�.n�-- City: Zip: <br /> Contractor'sName: ' e Q �fTG TelephoneNumber: �L73 -oS�So <br /> MailingA.ddress: . a •�X SS City: `2� Zip: .55�3� �-/ <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains <br /> Lavatory i Sewer Ejector <br /> Bathtub j Laundry Tray � <br /> Shower � Washer � <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw.sher Wet Bar <br /> Sillcocks Misc (list) '' <br /> h <br /> 4 <br />