Laserfiche WebLink
,. ,- - � �� �,� � <br /> CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �aY b6 (2750 Kelley Parkway) � <br /> Crystal Say, l�ZN 55323 <br /> GEi�IERAL INFORMATION <br /> 1. You may apply for ptumbing permits by mail or in person at tlie Ciry offices. <br /> 2. Permit cazds will be sent by retum mail after a review is completed. PERMTTS 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 properry 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 /> Instruction� Co�plete all iterr� on this application. Compute the pe=mit fee. Sign and date <br /> the certificatioii. INCONIPLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, ca11473-7357. <br /> Please check one: x New Addition Repair Replace <br /> Residential Commercial <br /> JOB STTE: ���j 5�'►o�e�;ne ��. � 7ip; �53� 1 <br /> Owner'sName: �:�1�r�� C- )�r:er TelephoneNumber: �-,I�S- 3 53 <br /> Mailing Address: �y°t I S�o�e)�n e O f- City: D�o�a Zip: 5 S3�i � <br /> Contractar'sName: 1��'n c;+,� L:�c�s�y TelephoneNumber: 9 u�-z i�7 <br /> MailingA.ddress: 'J32� w��►,-es�o„ �, S�..fiti City: �d;nti Zip: 5'S�+3� <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTUR.E 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 <br /> Disposal Water Softener � <br /> Dishw��sher Wet Baz <br /> Sillcocks Misc (list) <br />