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� ��� `�`:, , <br /> � � � �j _ - <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> �aY b6 (27�0 Kelley Parkway) <br /> Crystal Eay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the Ciry 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 /> 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 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 i[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 /> the certificatioii. INC0�9PLET� 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 STTE: :Z/3S� S��✓au✓ �Q_ Zip: r;S3 t/ <br /> Owner's1�lame:�j£,,,yvir-��t Y�I�r�uu� TelephoneNumber: �.5t� -d�-�f� <br /> Mailing Address: z�3S- 5��,,��}.•� t��- City: v���r� Zip: �S-��CI/ <br /> Contractor'sName: �LT- ��. I �;��Z TelephoneNumber: �;i- u�;�-S� <br /> MailingAddress: Zr.�>c> c".sr.�,pKs t�r�. -r�- Yv City: ��moui�� Zip: S��fY( <br /> PLUMBING FII�TURE SCHEDULE <br /> FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Close[ 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 />