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9� <br /> ' ��/ d57 <br /> CITY OF URONO APPLICATION FOR PLUMBING P�RMIT <br /> �i�s 66 (27�0 Kelley Parkway) <br /> Crystal Sav, MN 55323 <br /> �, 19`�� <br /> GENERAL INFORMATION �:°� <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit 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 pemut 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 /> �; <br /> Instruction� Co:nplete all items on this application. Compute the permit fee. Sign and date �' <br /> the certificatioii. INCOMPLET� 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 SIT'E: Z �`� � �/-�I�}�(,c��U� � � Zip: �J�3� I <br /> Owner's 1�1ame: �� /"�O 3 !D/��U Telephone Number: ��/- Q/3 7 <br /> Mailing Address: C� s �D f,r,�� City: (�� Zip: �S,� / <br /> Contractc►r'sName: ���,L�t��'�l j��.Ur-i r3;n1G TelephoneNumber: �,`Z.7- v 3 <br /> MailingAddress: �.aC� -r"�- C�r'�r�-F/EL1� f}�� City:_� ��,,..5 Zip: 5' p - <br /> PLUMBING FIXTURE SCHEDULE <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 � r <br /> Disposa�l Water Softener <br /> Dishw��sher Wet Bar <br /> i <br /> Sillcocks Misc (list) <br />