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i <br /> r <br /> � ' � � ��-- <br /> , <br /> l� <br /> C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> Ilox h6 (2750 Kelley Parkway) <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 cazds 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 sepazate 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. Ca11473-7357. 24-hour notice required. <br /> ; <br /> �nstructioii� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certi�catioii. INC011�PLET� 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: o�1� � L,.so OP'e� Zip: <br /> Owner's Name: � • Telephone Number: �{-1 �_ ��,g� <br /> nhailing Address: City: �ip: <br /> Contract�ir'sName: �`• elephoaeNumber: Sa/� 8$� <br /> MailingA.ddress: �Sf01 .e b o City:_I'�Q��_Zip: s'S'-� 1 I <br /> �— <br /> PLUMBING FIXTURE SCHEDULE <br /> �, <br /> FIXTUR.E BSM'T 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 t <br /> Dishw.�sher Wet Bar <br /> Siilcocks Misc (list) ` <br />