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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> }�os b6 (27�0 Kelley Parkway) <br /> Crystal Bay, 1VIN 55323 <br /> GENERAL INF'ORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City ofFices. <br /> 2. Permit cazds 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 ptoperty owners residing <br /> in the dwelling. <br /> 4. When any new construction or rcmodeling 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. Ca11473-7357. 24-hour notice required. <br /> Instructions Coalplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INC011'1PLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, call 473-7357. <br /> Please check one: �New Addition Repair Replace <br /> Residential Commercial <br /> JOB srr�: � y91 -� �Ho�.�� L��E �c' � zip: <br /> Owner'sName: k�tie.l2..��-n7 TelephoneNumber: <br /> Mailing Address: City: Zip: <br /> Contracti�r'sName: ��T�Q 1� ,� TelephoneNumber: �37-��i S9' <br /> MailingA.ddress: 2(0 . I � City: ,(�uUl���'ea. Zip: ��y� <br /> PLUMBING FiXTURE SCHEDULE <br /> FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Z Z Floor Drains Z. <br /> Lavatory 3 3 Sewer Ejector <br /> Bathtub � � Z Laundry Tray J <br /> Shower J Z.. Washer ) <br /> Kitchen Sink Water Heater Z <br /> Disposal 1 Water Softener <br /> Dishwssher We� B� 2�y� <br /> Sillcocks Z, Misc (list) <br />