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� - <br /> ������7 � <br /> � <br /> C1TY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT - <br /> � �Sox b6 (27�0 Kelley Parkway) <br /> Cry.stal Sav, 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 cards wili be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> ' UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> ; 3. Plumbing pemuts 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 sepazate building pemut must be obtained. <br /> 5. All work must be done in accordance with the State Code requirements. <br /> q 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required. <br /> Instructioii,� Co:npletp all items on this application. Compute the permit fee. Sign and date <br /> tlie certificatioii. INC01�9PLET� APPLICATIONS WILL NOT BE PRUCESSED. If you have <br /> � questions, call 473-7357. <br /> ; <br /> Y <br /> � Please check one: New Addition �C Repair Replace <br /> Residential Commercial <br /> JOB SIT�;: � � c.��o� � � > � - ' Zip� S5�3�l� <br /> � Owner's Name: �� e Telephone Number: �17 ?� <br /> Mailing Address:���1�j� q'�,���p� j�. City: � • Zip: 5 5";�I/ <br /> Contractr�r'sName: o ��-- TelephoneNumber: �7/-y/7� _ <br /> MailingA ddress: S�,c.r,r(�_ c�o2. �c� ' City: �.��� Zip: S53 i/ <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.t: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet ' Plno�� <br /> i <br /> -ba�`-- �ew.e�--£�eetcn <br /> Bathtub � J Laundry Tray ��,r <br /> Shower � � Washer ��,, � <br /> Kitchen Sink � ��ater-��t� <br /> Disposal ��j � o ener <br /> Dishw�,sher �,� �" <br /> Sillcocks �1��� Misc (list) <br />