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r � <br /> ��v����� <br /> CITY OF UIt.ONO APPLICATION FOR PLUMBIl�G`�RMIT <br /> �ox 66 (27�0 Kelley Parkway) gu�, 2 <br /> t <br /> Crystal Say, MN 55323 , ��;��,�`-' <br /> �Y :�� <br /> `J� <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing pernuts 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. A::�vork must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required. <br /> w <br /> Instructioi�,� Co:nplete all items on this application. Compute the permit_fee. Sign and date <br /> the certification. 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 SITE: Zip: <br /> Owner's l�Tame: �/c�,gp.c�� ,Qv��T-�,,J Telephone Number: 5!7/— o i�,�- <br /> Mailing Address: ��J',�Ao�y /,,�aoo ,k'� City: lj'G2��/U Zip: ,s-:Y�y� <br /> Contractar'sName:/��rl ���=x �'v,��,..�� TelephoneNumber: ss/- ���s- <br /> MailingAddress:��'ov c;¢m,�u✓ �.� ���rt sl� City:�y��,�uT�✓ Zip: .�:��y�� <br /> PLUMBING FIXTURE SCHEDULE <br /> � <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 Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater (/ <br /> Disposal Water Softener <br /> Dishw��sher Wet Bar <br /> Sillcocks Misc (list) <br /> � <br /> ; � �. � � <br /> � <br />