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. � i��� <br /> . � <br /> � ���� <br /> P�RMI ��� <br /> CITY OF UI�.ONO APPLICATION FOR PLUNIBING T <br /> }l��s bb (27�0 Kelley Parkway) <br /> Crystal Sav, 1VIN 55323 <br /> GENERAL INFORMATION <br /> 1. Yeu may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Per,-nit 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 /> 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 /> Instructioii� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatiaii. INCOl��?LET� 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 /> � <br /> JOB SITE: i �l(� � �y��.7�c�� �C1Ci � Zip: ����� <br /> Owner's 1�1ame:��= �;c������5,e��„r. � � _ Telephone Number: Sp,q _ a 5�.,,; <br /> Mailing Address: City: Zip: <br /> Contractr�r'sNam . ' - TelephoneNumber�l�.G?,�3-�7�)1 <br /> MailingA.ddress: i���� � • ` �. Cit ,n�,�o�.I�a_ Zip: ��y� <br /> Y��' <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> r <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 1 We� Baz <br /> Sillcocks Misc (list) <br /> t--�c�.o.f,•,,� �Co� <br /> � �� ���+�,� <br /> -�►..�., <br />